MEDICARE: JACK BARRON

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	101YM0800X	Mental Health Counselor	C.2507745	OH

General Provider Information

NPI Number	:	1689531410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACK BARRON

Provider Business Mailing Address
First Line	:	580 S HIGH ST STE 220
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-5610
Country	:	US
Telephone Number	:	614-625-7183
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 RIDGE MILL DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7752
Country	:	US
Telephone Number	:	614-457-7876
Fax Number	:	614-457-7896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	03/05/2026

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Directions to “ JACK BARRON ” Practice Location

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