Active NPI
Jetlife Wellness Center
- Community/Behavioral Health Agency
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JETLIFE WELLNESS CENTER
- Practice address
- 6411 Lanercost Rd
Reynoldsburg, OH 43068-3515 - Phone
- (614) 599-6744
- NPI assigned
- Jan 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquise M Henderson
- Title
- Program Director
- Phone
- (614) 599-6744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Mailing address
6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Phone (614) 599-6744
Other practice location 1
3360 E Livingston Ave Ste 3B5
Columbus, OH 43227-1956
Phone (614) 599-6744
National Provider Directory
National Provider Directory- Tax ID family
- Jetlife Wellness Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Reynoldsburg, OH
- NPI 1528924297
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Reynoldsburg, OH
- NPI 1962103804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1508724121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 LANERCOST RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683515",
"telephone_number": "614-599-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 LANERCOST RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683515",
"telephone_number": "614-599-6744"
}
],
"practiceLocations": [
{
"address_1": "3360 E Livingston Ave Ste 3B5",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432271956",
"country_code": "US",
"telephone_number": "614-599-6744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JETLIFE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2025-12-26",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "MARQUISE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "614-599-6744"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.