Jeremy West, LICDC, LISW-S

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.162185 Issued in OH

Practice address

517 3Rd Ave
Chesapeake, OH 45619-1036

Phone

(740) 451-1455

NPI assigned

Mar 12, 2018

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Group Home, LLC

  dba PATH Integrated Healthcare

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  NPD (past)
• Phoenix Group Home, LLC

  dba Path Behavioral Health- SUD

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD (past)
• Lodestar, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huntington, WV
  • NPI 1740958065
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1356844849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191036",
            "telephone_number": "740-451-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Chesapeake Plz",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "OH",
            "postal_code": "456191003",
            "country_code": "US",
            "telephone_number": "740-340-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257012403",
            "country_code": "US",
            "telephone_number": "304-529-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 Vernon St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381637",
            "country_code": "US",
            "telephone_number": "740-479-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257011526",
            "country_code": "US",
            "telephone_number": "304-360-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "JEREMY",
        "credential": "LICDC, LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162185",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405472.SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00946482",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356844849",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Webb
• Robin Annette Webb, CDCA, RA
• Julie Ann Welling
• Falisha Wells
• Hayden West
• Michelle West
• Erin A Wheeler, LISW
• Jasmine Whitaker, MBA
• Amanda N White, CDCA
• Joshua Wiley

• Addiction (Substance Use Disorder) Counselor in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.