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JOHNNY JACKSON III
NPI 1336929884
Peer Specialist in Fairfield, OH

Active since October 03, 2023
6570 SOSNA DR, FAIRFIELD, OH 45014(513) 942-4673(513) 860-1439 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2023, Oct 30, 2023, Oct 3, 2023 (3 updates tracked since 2023).

About Johnny Jackson Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY JACKSON III (NPI 1336929884) is an individual peer specialist in Fairfield, Ohio, licensed in Ohio (APS.004453) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1336929884
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHNNY JACKSON III
Location Address6570 SOSNA DRFairfield, OH 45014-2222
Mailing Address100 Crowne Point PlCincinnati, OH 45241-5427 · (513) 743-7628 · Fax (513) 737-1107
Phone(513) 942-4673
Fax(513) 860-1439
Sole ProprietorYes
Enumeration DateOctober 3, 2023
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1336929884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.004453
Definition
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.
6570 SOSNA DR, Fairfield, OH 45014
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARMAINE ANN WAGNER-BELL LISW
Social Worker (Clinical)
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 942-3181
INDIA LAMPKIN
Case Management
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 743-7628
HAYLEY LEMMEL
Case Manager/Care Coordinator
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 943-4673
MURILE VINCENT MORGAN
Counselor (Addiction (Substance Use Disorder))
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 942-4673
PAYTON MOLLAUN
Behavior Technician
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 892-4673
MS. TRISTICA WITHROW
Counselor
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 942-4673
DR. RICK LEE HUM M.D.
Internal Medicine
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 892-4673
LARRY MCCULLER
Counselor (Addiction (Substance Use Disorder))
6570 SOSNA DR
FAIRFIELD, OH 45014
Butler County (513) 942-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Jackson's NPI number?

The NPI number for Johnny Jackson is 1336929884. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Johnny Jackson located?

Johnny Jackson practices at 6570 Sosna Dr, Fairfield, OH 45014. The listed phone number is (513) 942-4673.

What is Johnny Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Johnny Jackson was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.