Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Derek Thoburn

Individual provider Peer Specialist · NPI 1578492468

Jason Derek Thoburn is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone: (888) 890-3779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRS.007823 (OH)

Record details

NPI number1578492468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 16, 2026
Last updated in NPPESMay 16, 2026
Certification dateMay 16, 2026
Mailing address731 Canonby Pl Apt A, Columbus, OH 43223-2379

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