Individual provider · Type 1 NPI

Thomas Jackson

Peer Specialist · Cincinnati, OH

NPI number 1114863719 Active

Practice location

1501 Madison Rd
Cincinnati, OH 45206-1706

Call (513) 354-5200 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XPRS.007653 (OH)

Peer Specialist: 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.

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About NPI 1114863719

Thomas Jackson's National Provider Identifier is 1114863719, issued on Apr 27, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cincinnati, OH. The record was last updated on Apr 27, 2026.