Active NPI
Resean Jetson, PH.D.
- Counseling Psychologist
- Powell, OH
National Provider Identifier
1619357837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- P.08556
- Practice address
- 4014 N Hampton Dr
Powell, OH 43065-8431 - Phone
- (614) 470-4466
- Fax
- (614) 626-5301
- NPI assigned
- Jun 3, 2015
- Last updated
- Oct 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | P.08556 | OH | Primary |
Addresses
Primary practice location
4014 N Hampton Dr
Powell, OH 43065-8431
Mailing address
804 Morrison Rd
Columbus, OH 43230-6643
Phone (614) 706-6010
Other practice location 1
804 Morrison Rd
Columbus, OH 43230-6643
Phone (614) 706-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
Other names 1
- Resean Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| P.08556 | OH | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Psychological and Academic Services LLC | Current | Accepting new patients | |
| Jetson Psychological Services, LLC. | Past | Accepting new patients |
Locations
4014 N Hampton Dr
Powell, OH 43065
Phone (614) 470-4466
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1649175043
-
- School Psychologist
- Powell, OH
- NPI 1780286179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792800000000",
"number": "1619357837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 MORRISON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306643",
"telephone_number": "614-706-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 N HAMPTON DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430658431",
"telephone_number": "614-470-4466",
"fax_number": "614-626-5301"
}
],
"practiceLocations": [
{
"address_1": "804 Morrison Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432306643",
"country_code": "US",
"telephone_number": "614-706-6010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JETSON",
"first_name": "RESEAN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2026-10-24",
"certification_date": "2026-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "P.08556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RESEAN",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.