IndividualActive
Jon Dick, MSS. LSW, LICDC-CS
NPI 1245693621 · Addiction (Substance Use Disorder) Counselor · Waverly, OH
Provider details
- NPI number
- 1245693621
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MSS. LSW, LICDC-CS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 965770 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
126 East 2nd Street
Waverly, OH 45601
Phone: (740) 851-5307
Fax: (740) 851-5308
Street-level locationGet directions
Mailing address
83 Virginia Ln
Waverly, OH 45690-9639
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.