1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Peer Specialist
  6. NPI Profile

JACOB ALLEN SHATTUCK SR.
NPI 1619818333
Peer Specialist in Columbus, OH

Active since April 06, 2026
211 S 5TH ST, COLUMBUS, OH 43215(614) 567-6274(855) 604-0927 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Jacob Allen Shattuck Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ALLEN SHATTUCK SR. (NPI 1619818333) is an individual peer specialist in Columbus, Ohio, licensed in Ohio (PRS.007652) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1619818333
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB ALLEN SHATTUCK SR.
Location Address211 S 5TH STColumbus, OH 43215-5203
Mailing Address211 S 5th StColumbus, OH 43215-5203 · (614) 567-6274
Phone(614) 567-6274
Fax(855) 604-0927
Sole ProprietorYes
Enumeration DateApril 6, 2026
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1619818333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · PRS.007652
Definition
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.
211 S 5TH ST, Columbus, OH 43215
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERSHAY MARTIN
Counselor (Addiction (Substance Use Disorder))
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
FORWARD HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
SHAWNA REDD
Community/Behavioral Health
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 324-4088
DANIEL LEE SCOTT
Peer Specialist
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
AMBER VANDINE
Counselor
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
FAITH M KINNEY-THOMPSON
Counselor (Addiction (Substance Use Disorder))
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
DEANNA SANFORD
Counselor (Addiction (Substance Use Disorder))
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274
COURTNEY ELYSE HALCHAK
Peer Specialist
211 S 5TH ST
COLUMBUS, OH 43215
Franklin County (614) 567-6274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Shattuck's NPI number?

The NPI number for Jacob Shattuck is 1619818333. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Jacob Shattuck located?

Jacob Shattuck practices at 211 S 5th St, Columbus, OH 43215. The listed phone number is (614) 567-6274.

What is Jacob Shattuck's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Shattuck was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.