Individual provider · Type 1 NPI

Jason Willard Hogan I

Peer Specialist · Columbus, OH

NPI number 1255212346 Active

Practice location

3121 W Broad St
Columbus, OH 43204-1306

Call (614) 869-2002 Map

Fax (614) 792-6240

Mailing address

50 Sanctuary Village Dr
Columbus, OH 43235-8604

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.005944 (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 1255212346

Jason Willard Hogan I's National Provider Identifier is 1255212346, issued on Sep 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Sep 8, 2025.