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JEREMY PAUL COLEMAN LCDCII
NPI 1245722511
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since June 03, 2018
4977 NORTHCUTT PL, DAYTON, OH 45414(937) 387-6395 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2023, Sep 16, 2021, May 5, 2021 and 1 more (4 updates tracked since 2020).

About Jeremy Paul Coleman Lcdcii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY PAUL COLEMAN LCDCII (NPI 1245722511) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (LCDCII.161841) and active in the NPI registry since June 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245722511
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY PAUL COLEMANCredential: LCDCII
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address4977 Northcutt PlDayton, OH 45414-3839 · (937) 387-6395
Phone(937) 387-6395
Sole ProprietorNo
Enumeration DateJune 3, 2018
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1245722511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCII.161841
4977 NORTHCUTT PL, Dayton, OH 45414
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11830 W High StPiqua, OH 45356-9399 · Phone (513) 834-7063
Location 23095 Kettering BlvdMoraine, OH 45439-1983 · Phone (937) 293-8300

Other Identifiers 1

Medicaid0291711OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
PATRICIA CLARK CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Coleman's NPI number?

The NPI number for Jeremy Coleman is 1245722511. It was assigned to this individual provider in the NPPES registry on June 3, 2018.

Where is Jeremy Coleman located?

Jeremy Coleman practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (937) 387-6395.

What is Jeremy Coleman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremy Coleman was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.