Active NPI
Jessica Anne Board, MA, LPCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1356775605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1200602
- Practice address
- 444 Butterfly Gardens Dr
Columbus, OH 43215-3427 - Phone
- (614) 722-2000
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1200602 | OH | Primary |
Addresses
Primary practice location
444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Other practice location 1
1620 Harrison Ave
Cincinnati, OH 45214-1410
Phone (513) 914-4673
Other practice location 2
4526 Federal Ave Bldg 1
Everett, WA 98203-2132
Phone (425) 349-8303
Other practice location 3
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1200602 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For the Love of Black Women | Current | Accepting new patients | |
| Decoach Team LLC | Past | Accepting new patients | |
| Decoach Team LLC | Past | Accepting new patients |
Locations
10901 Reed Hartman Hwy
Ste 208
Blue Ash, OH 45242
Phone (513) 434-3605
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Blue Ash, OH
- NPI 1932832987
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1366992224
-
- Adult Mental Health Clinic/Center
- Cincinnati, OH
- NPI 1578037552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1356775605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 BUTTERFLY GARDENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153427",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "1620 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452141410",
"country_code": "US",
"telephone_number": "513-914-4673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4526 Federal Ave Bldg 1",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032132",
"country_code": "US",
"telephone_number": "425-349-8303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOARD",
"first_name": "JESSICA",
"middle_name": "ANNE",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C1200602",
"primary": true
}
],
"identifiers": [],
"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 Jul 28, 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.