Jessica Marie Burgos Bland

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.006098 Issued in OH

Practice address

3211 Glover Dr
Ashtabula, OH 44004-8963

Phone

(440) 645-2906

NPI assigned

Mar 5, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487452314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 GLOVER DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440048963",
            "telephone_number": "440-645-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 GLOVER DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440048963",
            "telephone_number": "440-645-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS BLAND",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.192522",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Lynn Bullen
• Kayla Renee Bullock
• Jennifer A. Bunnell, P.T.
• Stacey Lee Bunnell, RN
• Robyn Elizabeth Burdick
• Heather L Burns, L.M.T
• Lauren Bush, M.S. CF-SLP
• Ryan E. Bush, RN
• Paige Butcher, APRN
• Matthew A Butler, LISW-S, LICDC

• Peer Specialist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.