JACQUELINE GREENE
NPI 1619626694
Counselor - Addiction (Substance Use Disorder) in Chardon, OH

Active since March 18, 2022
12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Aug 13, 2024 (2 updates tracked since 2024).

About Jacqueline Greene NPPES

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

JACQUELINE GREENE (NPI 1619626694) is an individual addiction (substance use disorder) provider in Chardon, Ohio, licensed in Ohio (CDCA.189225) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1619626694
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE GREENE
Location Address12557 RAVENWOOD DRChardon, OH 44024-9009
Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568
Sole ProprietorYes
Enumeration DateMarch 18, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1619626694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.189225
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12557 RAVENWOOD DR, Chardon, OH 44024

Accepted Insurance

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.

Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024

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 Jacqueline Greene's NPI number?

The NPI number for Jacqueline Greene is 1619626694. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Jacqueline Greene located?

Jacqueline Greene practices at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 285-3568.

What is Jacqueline Greene's specialty?

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

What insurance does Jacqueline Greene accept?

Health plans from CareSource list Jacqueline Greene as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Greene was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.