Individual provider Active NPI

Jermaine Ali Harris

  • Addiction (Substance Use Disorder) Counselor
  • Pickerington, OH
National Provider Identifier
1043174220
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001024817 Issued in OH
Practice address
8755 Refugee Rd
Pickerington, OH 43147-8938
Phone
(614) 770-4740
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001024817 OH Primary

Addresses

Primary practice location

8755 Refugee Rd
Pickerington, OH 43147-8938

Mailing address

PO Box 61
Reynoldsburg, OH 43068-0061
Phone (614) 770-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001024817OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holcombe House of Hope Addiction (Substance Use Disorder) CurrentSince Dec 14, 2025 Accepting new patients
Holcombe Behavioral Health LLC Addiction (Substance Use Disorder) CurrentSince Dec 14, 2025 Accepting new patients
Higher Learning Group CurrentSince Dec 14, 2025 Accepting new patients

Locations

8755 Refugee Rd
Pickerington, OH 43147
Phone (614) 770-4740

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1043174220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680061",
            "telephone_number": "614-770-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478938",
            "telephone_number": "614-770-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JERMAINE",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001024817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.