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

Thomas Jackson

Individual provider Peer Specialist · NPI 1114863719

Thomas Jackson is a Peer Specialist in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1501 Madison Rd
Cincinnati, OH 45206-1706
Phone: (513) 354-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRS.007653 (OH)

Record details

NPI number1114863719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1501 Madison Rd, Cincinnati, OH 45206-1706

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