Jesse Sanders, PHD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C2002994387 Issued in OH

Practice address

1561 Old Leonard Ave
Columbus, OH 43219-2580

Phone

(614) 655-4300

Fax

(614) 695-5300

NPI assigned

May 5, 2016

Last updated

Aug 13, 2026By 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 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Redefined LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reynoldsburg, OH
  • NPI 1750902250

  Mental Health

  NPD Authorized official
• Redefined Behavioral Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reynoldsburg, OH
  • NPI 1346173614

  Counselor

  NPD (past) Authorized official
• Redefining Empowerment Center Inc. (Rec)

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1710845730
  Authorized official Same address or phone
• A Redefining Life LLC

  • Counselor
  • Columbus, OH
  • NPI 1003774928
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1720434145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 E MAIN ST STE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682368",
            "telephone_number": "614-655-4300",
            "fax_number": "614-695-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 OLD LEONARD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192580",
            "telephone_number": "614-655-4300",
            "fax_number": "614-695-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6432 E Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430682368",
            "country_code": "US",
            "telephone_number": "614-655-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "C2002994387",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "463081342",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C2002994387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720434145",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atha Leeann Sanders, B.S.
• Brittany Sanders
• Devin Douglas Sanders, M.D.
• Erik Sanders, ATC, CSCS
• Jason E. Sanders, APRN-CRNA
• Joyce A Sanders, QMHS 3 YEAR
• Katrina Evon Sanders
• Kristen Blakey Sanders, CNP
• Latisha Sanders, CPRS
• Lorain Renee Sanders

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.