Individual provider Active NPI

Jessica E Rogers, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1164894754
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002208-SUPV Issued in OH
Practice address
855 S Wall St
Columbus, OH 43206-1921
Phone
(614) 212-4724
NPI assigned
Oct 22, 2015
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600449 OH
Clinical Social Worker 1041C0700X I.2002208-SUPV OH Primary

Addresses

Primary practice location

855 S Wall St
Columbus, OH 43206-1921

Mailing address

855 S Wall St
Columbus, OH 43206-1921
Phone (614) 212-4724

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

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
S.1600449OHMDSocial Worker
I.2002208-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Martin-Rogers Counseling and Consultation Services, LLC Clinical CurrentSince Jul 1, 2020 Accepting new patients

Locations

1251 W Broad St
Ste 105
Columbus, OH 43222

141 Hawkes Ave
Columbus, OH 43222

855 S Wall St
Columbus, OH 43206
Phone (614) 706-0704

Organizations & group practices 1

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1164894754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S WALL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061921",
            "telephone_number": "614-212-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S WALL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061921",
            "telephone_number": "614-212-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600449",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002208-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.