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MR. JESSE RYAN SPROUSE
NPI 1386499184
Counselor - Addiction (Substance Use Disorder) in Kettering, OH

Active since April 23, 2024
1324 WILLOWDALE AVE, KETTERING, OH 45429(937) 361-9391(937) 918-7161 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jesse Ryan Sprouse NPPES

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

MR. JESSE RYAN SPROUSE (NPI 1386499184) is an individual addiction (substance use disorder) provider in Kettering, Ohio and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1386499184
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JESSE RYAN SPROUSE
Location Address1324 WILLOWDALE AVEKettering, OH 45429-5148
Mailing Address1324 Willowdale AveKettering, OH 45429-5148 · (937) 361-9391 · Fax (937) 918-7161
Phone(937) 361-9391
Fax(937) 918-7161
Sole ProprietorYes
Enumeration DateApril 23, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1386499184 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
1324 WILLOWDALE AVE, Kettering, OH 45429
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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 Jesse Sprouse's NPI number?

The NPI number for Jesse Sprouse is 1386499184. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Jesse Sprouse located?

Jesse Sprouse practices at 1324 Willowdale Ave, Kettering, OH 45429. The listed phone number is (937) 361-9391.

What is Jesse Sprouse'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 Jesse Sprouse was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.