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Jeremy D Vanderpool , COUNSELOR TRAINEE

Counselor β€’ Springboro, OH

Active NPI 1871009449 Individual Practitioner Male Practitioner
Practice location in NPPES

50 Greenwood Ln
Springboro, OH 450663033

Call 9377461154 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

50 Greenwood Ln

Springboro, OH 450663033

Telephone 9377461154
Fax 9377468523

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springboro and Ohio

2 active clinicians are listed under Counselor with a practice address in Springboro, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH C.1901668-TRNE

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH CDCA.151540
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Sara Johnson , LSW

Social Worker - Clinical

NPI 1548798374

Licensed Social Worker

Dr. Karen Zellner , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1255501839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 07, 2019

Recorded as JEREMY VANDERPOOL, COUNSELOR TRAINEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2019

Counselor (license number reported to NPPES: OH CDCA.151540)

βœ…
NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 19, 2017

Registered at 50 GREENWOOD LN, SPRINGBORO, OH 450663033 (Tel: 9377461154)

πŸ“
Business Mailing Address (Initial Record) December 19, 2017

Registered at 204 COOK RD STE 400, LEBANON, OH 450369600 (Tel: 5132287800)

πŸ‘€
Provider Name / Credentials (Initial Record) December 19, 2017

Recorded as JEREMY VANDERPOOL, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Counselor (license number reported to NPPES: OH CDCA-151540)

🟒
Initial NPI Registration & Enumeration December 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871009449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2017
Last Update: June 07, 2019
Sole Proprietor: Yes

Mailing Address

204 Cook Rd Ste 400

Lebanon, OH 450369600

Phone: 5132287800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.