Jesse R Mann, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.171611 Issued in OH

Practice address

3433 Agler Rd Ste 2100
Columbus, OH 43219-3389

Phone

(614) 599-6869

Fax

(614) 413-3464

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1235707613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-599-6869",
            "fax_number": "614-413-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-599-6869",
            "fax_number": "614-413-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Delaware Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026461",
            "country_code": "US",
            "telephone_number": "614-599-6869",
            "fax_number": "614-413-3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JESSE",
        "middle_name": "R",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.171611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR Records",
            "address_1": "3433 Agler Rd Ste 2100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432193389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Mann, CPRS
• Anne Mann, MSW, LSW
• Christine Mann
• Elizabeth Mann
• Jennica Mann, LSW
• Nina Mann, MD
• Raymond Edward Mann, LCDCIII.141050
• Robert Mann
• Steven C Mann, DO
• Tonya Mann

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.