Jackson, Kimika M

Jackson, Kimika M is an sole proprietor health care provider with primary practice located at 1661 Alpine Dr , Columbus OH 43229-2162. She recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Developmental Disabilities, Nursing Service Related Providers / Home Health Aide, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Community/Behavioral Health is her primary health care specialty. Jackson, Kimika M can be contacted via phone (614) 778-0815.

Contact Information

Primary practice address
1661 Alpine Dr Columbus OH 43229-2162
Phone: (614) 778-0815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.194441 Ohio
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X FPS.000303 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Nursing Service Related Providers / Home Health Aide 374U00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1386136497
LBN Legal business name Jackson, Kimika M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2018
Last updated Sep 18th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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