IndividualActive
Ian Jennings, CDCA.193079
NPI 1154140200 · Addiction (Substance Use Disorder) Counselor · Coal Grove, OH
Provider details
- NPI number
- 1154140200
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA.193079
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
Street-level locationGet directions
Mailing address
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Additional practice locations (2)
- 1141 County Road 24Ironton, OH 45638-3186Phone: (740) 237-4981Fax: (877) 325-2816
- 35 Pvt Dr 1122aIronton, OH 45638Phone: (740) 237-4981Fax: (877) 325-2816
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.