Jack Justin Dreher, LPC- MHSP / LPCC
Individual provider Active NPI Professional Counselor · Greenfield, OH
NPI 1053909549 · NPPES record last updated Jan 17, 2026
Key facts
- NPI
- 1053909549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5312 (TN)
- Practice address
- PO Box 38
Greenfield, OH 45123-0038 - Phone
- (615) 645-3651
- NPI assigned
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2404340 | OH | MD | Professional Counselor |
| 5312 | TN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2404340 | OH | |
| Professional Counselor | 101YP2500X | 5312 | TN | Yes |
Addresses
Primary practice location
PO Box 38
Greenfield, OH 45123-0038
Mailing address
PO Box 38
Greenfield, OH 45123-0038
Phone (615) 645-3651
Other providers in Greenfield, OH
- Cassandra Dettwiller
- Felicia Diaz-Taylor
- Martin Andrew Dobson
- Michele L. Dodds
- Travis Dove
- Elizabeth Anne Drury
- Jonathan Dunlap
- Edgewood Manor of Greenfield LLC
- Ernest Erwin
- John Ferrell
All providers in Greenfield, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.