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

Joseph Jackson, LCDCII

Individual provider Peer Specialist · NPI 1427539519

Joseph Jackson, LCDCII is a Peer Specialist in Andover, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

158 W Main St
Andover, OH 44003-9318
Phone: (216) 800-8700
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LCDCII.162062 (OH)
Peer Specialist Taxonomy 175T00000X · Licence PRS.007460 (OH)

Record details

NPI number1427539519
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCII
Sole proprietorYes
NPI enumeratedAugust 27, 2018
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address158 W Main St, Andover, OH 44003-9318

Other providers in Andover