Jesse James Carlson, APS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005734 Issued in OH

Practice address

1420 Fields Ave
Columbus, OH 43211-2635

Phone

(614) 224-4506

Fax

(614) 291-0118

NPI assigned

Feb 21, 2025

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compdrug

  • Methadone Clinic
  • Columbus, OH
  • NPI 1134184658
  NPD (past)
• Compdrug

  • Methadone Clinic
  • Columbus, OH
  • NPI 1366220394
  NPD (past)
• Compdrug

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1598543506
  NPD (past)
• Compdrug

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1679024566
  NPD (past)

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1558167403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-224-4506",
            "fax_number": "614-291-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FIELDS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112635",
            "telephone_number": "614-224-4506",
            "fax_number": "614-291-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JESSE",
        "middle_name": "JAMES",
        "credential": "APS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Carlson, LISW
• Beau Carlson
• Caitlyn Carlson
• Daniel Jacob Carlson, AA
• Jamie Carlson, PT,DPT
• Jessica Carlson, RN
• Leigh Ann Carlson, MD
• Terry Axel Carlson, PH.D.
• Lucas Carlstrom, MD
• Charlene R. Carlton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.