Individual provider Active NPI

Joseph Orsman Jenkins Jr.

  • Peer Specialist
  • Columbus, OH
National Provider Identifier
1629967336
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.0006580 Issued in OH
Practice address
496 S Wheatland Ave
Columbus, OH 43204-3110
Phone
(614) 706-7132
NPI assigned
Jun 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.0006580 OH Primary

Addresses

Primary practice location

496 S Wheatland Ave
Columbus, OH 43204-3110

Mailing address

119 N Wheatland Ave
Columbus, OH 43204-3775
Phone (614) 323-0089

Other practice location 1

3718 Ridge Mill Dr
Hilliard, OH 43026-9231
Phone (380) 400-4673

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.0006580OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1629967336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N WHEATLAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043775",
            "telephone_number": "614-323-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 S WHEATLAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043110",
            "telephone_number": "614-706-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3718 Ridge Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430269231",
            "country_code": "US",
            "telephone_number": "380-400-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOSEPH",
        "middle_name": "ORSMAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.0006580",
            "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 30, 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.