Individual provider · Type 1 NPI

Jeremy R. Hayworth, LPCC-S

Professional Counselor · Dayton, OH

NPI number 1306355219 Active

Practice location

1 Childrens Plz
Dayton, OH 45404-1815

Fax (937) 641-3046

Mailing address

PO Box 933421
Cleveland, OH 44193-0039

Other practice locations

  • 8501 Old Troy Pike, Huber Heights, OH 45424-1054 · (937) 641-5772
  • 1425 N Fairfield Rd Ste 100, Beavercreek, OH 45432-2674 · (937) 641-5772
  • 860 Valley St., Dayton, OH 45404-2066 · (937) 641-3060
  • 3300 W Tech Blvd, Miamisburg, OH 45342-4865 · (937) 641-3401

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.1700339-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1306355219

Jeremy R. Hayworth, LPCC-S's National Provider Identifier is 1306355219, issued on Sep 22, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dayton, OH. The record was last updated on Jan 16, 2026.