Jaylen Tereyll Hewlett

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2359 Knollwood Ave
Youngstown, OH 44514-1525

Phone

(216) 260-1405

Fax

(330) 632-8823

NPI assigned

Aug 5, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23610/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Black Mental Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
  • NPI 1679053664

  Multi-Specialty

  NPD
• The Black Mental Health Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1679140040

  Multi-Specialty

  NPD
• Therapeutic Strength-Based Services

  • Community/Behavioral Health Agency
  • Columbiana, OH
  • NPI 1285323667

  Community Health Worker

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1023848058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 KNOLLWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141525",
            "telephone_number": "216-260-1405",
            "fax_number": "800-632-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 KNOLLWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141525",
            "telephone_number": "216-260-1405",
            "fax_number": "330-632-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "JAYLEN",
        "middle_name": "TEREYLL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Earl Heron, MD
• Susan L Herr, AU.D.
• Mark Herron, DIPLOMA
• Alexis Rae Hertz, DNP, APRN-CRNA
• Kathleen Rae Hevener
• Miya Carin Hewlett
• Nichole R Hewlett
• Victor L Heyman, D.D.S.
• Fred Mack Hicks
• Queen Esther Hicks

• Community Health Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.