MEDICARE: AUBURNS LEGACY FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932053410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBURNS LEGACY FOUNDATION

Provider Business Mailing Address
First Line	:	1425 GRANVILLE ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1644
Country	:	US
Telephone Number	:	614-372-4491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 GRANVILLE ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1644
Country	:	US
Telephone Number	:	614-372-4491
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JENNIFER CHEEKS
Credential	:	CCHW, CFPS
Telephone Number	:	614-655-1298

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “AUBURNS LEGACY FOUNDATION ” Practice Location

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