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

Jeremy D Green

Individual provider Peer Specialist · NPI 1811788185

Jeremy D Green is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

3121 W Broad St
Columbus, OH 43204-1306
Phone: (614) 869-2002
Fax: (614) 792-6240
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.006347 (OH)

Record details

NPI number1811788185
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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