Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerret Kolesar, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104558840

Jerret Kolesar, CNP is a Nurse Practitioner in Warren, Ohio. Qualified in 2023, 3 years ago. Practices with Open Water Counseling and Recovery LLC, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1716 N Rd SE
Warren, OH 44484-2907
Phone: (330) 574-8673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1212 Lake Ave, Ashtabula, OH 44004-2932 — (330) 539-5200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0034674 (OH)

Record details

NPI number1104558840
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address615 Angiline Dr, Boardman, OH 44512-6569

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Open Water Counseling And Recovery Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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