JACOB T THEADEMAN
NPI 1669187589
Counselor - Addiction (Substance Use Disorder) in Cincinnati, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 16, 2023

1501 MADISON RD, CINCINNATI, OH 45206(513) 354-5200(513) 354-7115 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacob T Theademan NPPES

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

JACOB T THEADEMAN (NPI 1669187589) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (CDCA.183225) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1669187589

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJACOB T THEADEMAN

Location Address1501 MADISON RDCincinnati, OH 45206

Mailing Address1501 Madison RdCincinnati, OH 45206 · (513) 354-5200 · Fax (513) 354-7115

Phone(513) 354-5200

Fax(513) 354-7115

Sole ProprietorYes

Enumeration DateJanuary 16, 2023

NPPES CertifiedJanuary 15, 2023

✔ NPI 1669187589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · CDCA.183225

1501 MADISON RD, Cincinnati, OH 45206

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Other Identifiers 1

Other00000OH · Licensure Board

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.

GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES

Community/Behavioral Health