Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JESSE SANDERS PHD
NPI 1720434145
Community/Behavioral Health in Columbus, OH

Q: What is Jesse Sanders's NPI number?

The NPI number for Jesse Sanders is 1720434145. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Q: What is Jesse Sanders's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Sanders was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since May 05, 2016PECOS Enrolled

1561 OLD LEONARD AVE, COLUMBUS, OH 43219(614) 655-4300(614) 695-5300 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Jun 6, 2023, Dec 26, 2020 (3 updates tracked since 2020).

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About Dr. Jesse Sanders Phd NPPES

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

DR. JESSE SANDERS PHD (NPI 1720434145) is an individual community/behavioral health provider in Columbus, Ohio, licensed in Ohio (C2002994387) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720434145

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameDR. JESSE SANDERSCredential: PHD

Location Address1561 OLD LEONARD AVEColumbus, OH 43219-2580

Mailing Address6432 E Main St Ste 101Reynoldsburg, OH 43068-2368 · (614) 655-4300 · Fax (614) 695-5300

Phone(614) 655-4300

Fax(614) 695-5300

Sole ProprietorNo

Enumeration DateMay 5, 2016

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1720434145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in OH · C2002994387

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License 463081342 (OH)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License C2002994387 (WA)

1561 OLD LEONARD AVE, Columbus, OH 43219

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Secondary Practice Locations 2

Location 1341 South Third Street, Unit 100-182Columbus, OH 43215 · Phone (614) 317-3038 ext. 102 · Fax (614) 317-3038

Location 26432 E Main St Ste 101Reynoldsburg, OH 43068-2368 · Phone (614) 655-4300

Other Identifiers 2

Medicaid0144581OH

Other1720434145OH · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Sanders Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

BEAST ACADEMY LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))