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

Kimika M Jackson

Individual provider Peer Specialist · NPI 1386136497

Kimika M Jackson is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
14
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Practice location Address checks out

1661 Alpine Dr
Columbus, OH 43229-2162
Phone: (614) 778-0815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X
Peer Specialist Taxonomy 175T00000X · Licence FPS.000303 (OH)
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Early Intervention Provider Agency Taxonomy 252Y00000X
Behavior Analyst Taxonomy 103K00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.194441 (OH)
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Community/Behavioral Health Agency Taxonomy 251S00000X
Home Health Agency Taxonomy 251E00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Mental Health Counselor Taxonomy 101YM0800X
Respite Care Taxonomy 385H00000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1386136497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2018
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address1661 Alpine Dr, Columbus, OH 43229-2162

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