Individual
JOSEPH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC II
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCDCII.162062
OH
175T00000X
Peer Specialist
PRS.007460
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
167972
OH
Other
Enumeration date
08/27/2018
Last updated
04/07/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up