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JAIMEE LEIGH ELLERBROCK
NPI 1740913060
Counselor - Addiction (Substance Use Disorder) in Springfield, OH

Active since July 05, 2022
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505(937) 328-5300(937) 322-4900 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaimee Leigh Ellerbrock NPPES

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

JAIMEE LEIGH ELLERBROCK (NPI 1740913060) is an individual addiction (substance use disorder) provider in Springfield, Ohio, licensed in Ohio (LCDCIII.162695) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1740913060
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAIMEE LEIGH ELLERBROCK
Location Address2624 LEXINGTON AVESpringfield, OH 45505-2620
Mailing Address2624 Lexington AveSpringfield, OH 45505-2620 · (937) 328-5300 · Fax (937) 322-4900
Phone(937) 328-5300
Fax(937) 322-4900
Sole ProprietorYes
Enumeration DateJuly 5, 2022
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1740913060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OH · LCDCIII.162695✔ Licensed in OH · CDCA.181883
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CDCA.181883 (OH)
2624 LEXINGTON AVE, Springfield, OH 45505
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Other Names 1

Former Name (1)Jaimee Leigh Soummers

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.

ERICK L BISHOP
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
ERIC J LEE
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
MCKINLEY HALL, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
MALINDA BOTKIN
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
BRANDON NAWMAN
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
KEIONDRA D SWIFT
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
WILLARD D DEARMOND JR.
Social Worker
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300
KAITLYN ELIZABETH LEE
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Clark County (937) 328-5300

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 Jaimee Ellerbrock's NPI number?

The NPI number for Jaimee Ellerbrock is 1740913060. It was assigned to this individual provider in the NPPES registry on July 5, 2022. The provider is also known as Jaimee Leigh Soummers.

Where is Jaimee Ellerbrock located?

Jaimee Ellerbrock practices at 2624 Lexington Ave, Springfield, OH 45505. The listed phone number is (937) 328-5300.

What is Jaimee Ellerbrock'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 Jaimee Ellerbrock was last updated on May 28, 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.