Individual provider Active NPI

Kelly S Jones

  • Peer Specialist
  • Columbus, OH
National Provider Identifier
1477328136
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.004846 Issued in OH
Practice address
1409 E Livingston Ave
Columbus, OH 43205-2926
Phone
(614) 747-7777
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X OH
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X APS.004846 OH Primary

Addresses

Primary practice location

1409 E Livingston Ave
Columbus, OH 43205-2926

Mailing address

P O Box 6051
Columbus, OH 43206-0051
Phone (614) 747-7777

Other practice location 1

1389 Ellsworth Ave
Columbus, OH 43206-3227
Phone (614) 747-7777

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
APS.004846OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelkares LLC Peer Specialist CurrentSince Nov 1, 2023 Accepting new patients
Transitional Support and Therapy Center by Kelkares Peer Specialist CurrentSince Sep 1, 2024 Accepting new patients

Locations

1409 E Livingston Ave
Columbus, OH 43205
Phone (614) 253-4448

1336 E Main St
Ste G
Columbus, OH 43205
Phone (614) 726-0025

1336 E Main St
Unit G
Columbus, OH 43205
Phone (614) 252-7833

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1477328136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 6051",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432060051",
            "telephone_number": "614-747-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052926",
            "telephone_number": "614-747-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Ellsworth Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432063227",
            "country_code": "US",
            "telephone_number": "614-747-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KELLY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004846",
            "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 Jun 3, 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.