Jerret Kolesar, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0034674 Issued in OH

Practice address

1716 North Rd SE
Warren, OH 44484-2907

Phone

(330) 574-8673

NPI assigned

Jun 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Open Water Counseling and Recovery LLCGroup PAC ID 8527487750, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/openwatercounseling/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.

• Open Water Counseling and Recovery, LLC

  • Mental Health Counselor
  • Warren, OH
  • NPI 1932747888
  Medicare reassignment Care Compare group NPD
• Open Water Counseling and Recovery, LLC

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1447877147
  NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1104558840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ANGILINE DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126569",
            "telephone_number": "330-503-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842907",
            "telephone_number": "330-574-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440042932",
            "country_code": "US",
            "telephone_number": "330-539-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLESAR",
        "first_name": "JERRET",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jratt79@zoominternet.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1716 North Rd SE",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444842907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tawandra Nicole Knight, CDCA
• Tricia Lynn Knight
• Jessica Knittle
• Namkyu Ko, MD
• Smila Kodali, M.D.
• Donna Kollar
• Rebecca Lee Komara, FNP-C
• Kondolios & Associates ,Inc.
• James Harry Kondolios, MD
• Pete E Kondolios, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Warren, OH
• Providers in Warren, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.