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Kimika M Jackson

Peer Specialist β€’ Columbus, OH

Active NPI 1386136497 Individual Practitioner Female Practitioner
Practice location in NPPES

1661 Alpine Dr
Columbus, OH 432292162

Call 6147780815 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1661 Alpine Dr

Columbus, OH 432292162

Telephone 6147780815

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

396 active clinicians are listed under Peer Specialist with a practice address in Columbus, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 396 clinicians have the CMS telehealth indicator.

0% of these 396 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-11
Clinic/Center - Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 261QD1600X

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH FPS.000303

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

NUCC Taxonomy Code: 385HR2060X

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Early Intervention Provider Agency

NUCC Taxonomy Code: 252Y00000X

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH CDCA.194441
Clinic/Center - Adult Day Care

NUCC Taxonomy Code: 261QA0600X

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Non-emergency Medical Transport (VAN)

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Respite Care

NUCC Taxonomy Code: 385H00000X

Home Health Aide

NUCC Taxonomy Code: 374U00000X

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2025

Peer Specialist (license number reported to NPPES: OH FPS.000303)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Clinic/Center

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2025

Respite Care

βœ…
NPI Profile Active June 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 04, 2018

Registered at 1661 ALPINE DR, COLUMBUS, OH 432292162 (Tel: 6147780815)

πŸ“
Business Mailing Address (Initial Record) June 04, 2018

Registered at 1661 ALPINE DR, COLUMBUS, OH 432292162 (Tel: 6147780815)

πŸ‘€
Provider Name / Credentials (Initial Record) June 04, 2018

Recorded as KIMIKA JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

In Home Supportive Care

🟒
Initial NPI Registration & Enumeration June 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386136497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2018
Last Update: December 11, 2025
Sole Proprietor: Yes

Mailing Address

1661 Alpine Dr

Columbus, OH 432292162

Phone: 6147780815

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.