=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932053410
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AUBURNS LEGACY FOUNDATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1425 GRANVILLE ST
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43203-1644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-372-4491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1425 GRANVILLE ST
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43203-1644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-372-4491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | JENNIFER CHEEKS
-----------------------------------------------------
Credential | CCHW, CFPS
-----------------------------------------------------
Telephone | 614-655-1298
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175T00000X
-----------------------------------------------------
Taxonomy Name | Peer Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------