1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Counselor
  6. NPI Profile

JEREMY BRUCE EDMONSON CDCA
NPI 1811599145
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since November 11, 2020
4977 NORTHCUTT PL, DAYTON, OH 45414(937) 387-6395 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, Jul 21, 2021, Nov 11, 2020 (3 updates tracked since 2020).

About Jeremy Bruce Edmonson Cdca NPPES

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

JEREMY BRUCE EDMONSON CDCA (NPI 1811599145) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (177351) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1811599145
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY BRUCE EDMONSONCredential: CDCA
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address4977 Northcutt PlDayton, OH 45414-3839 · (937) 687-6395
Phone(937) 387-6395
Sole ProprietorYes
Enumeration DateNovember 11, 2020
Last NPPES UpdateFebruary 15, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1811599145 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
Licenses✔ Licensed in OH · 177351✔ Licensed in OH · 174194
4977 NORTHCUTT PL, Dayton, OH 45414
Open in Google Maps ↗

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 Edmonson's NPI number?

The NPI number for Jeremy Edmonson is 1811599145. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Jeremy Edmonson located?

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

What is Jeremy Edmonson'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 Edmonson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.