Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaimee Leigh Ellerbrock

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740913060

Jaimee Leigh Ellerbrock is an Addiction (Substance Use Disorder) Counselor in Springfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2624 Lexington Ave
Springfield, OH 45505-2620
Phone: (937) 328-5300
Fax: (937) 322-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.162695 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.181883 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CDCA.181883 (OH)

Record details

NPI number1740913060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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