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

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: August 23, 2026.

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.

PATRICIA G JORDAN
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
DAVID TROXELL
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-7100
MICHAEL S MCCARTHY
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
PREET A PATEL QMHS BA
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
PEYTON RASMUSSEN QMHS
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
ABRISJAH COLLINS
Case Manager/Care Coordinator
1501 MADISON RD
CINCINNATI, OH 45206
Hamilton County (513) 354-5200
SALLY PARTIN CPRS
Case Manager/Care Coordinator
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200
JAMIE AYER CPRS, CDCA
Peer Specialist
1501 MADISON RD
WALNUT HILLS, OH 45206
Hamilton County (513) 354-5200

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 Jacob Theademan's NPI number?

The NPI number for Jacob Theademan is 1669187589. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Jacob Theademan located?

Jacob Theademan practices at 1501 Madison Rd, Cincinnati, OH 45206. The listed phone number is (513) 354-5200.

What is Jacob Theademan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Theademan was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.