Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417820796 Individual Practitioner Male Practitioner

Jason L Johnson

Peer Specialist • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Jason Johnson is a registered healthcare professional specializing in Peer Specialist in Dayton, OH. Practice services are available at 526 XENIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

526 Xenia Ave

Dayton, OH 454101824

Telephone 9379491524
Associated Practice Facility / Clinic
🏢 Sidewalk Soldiers Facility NPI 1477261683

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
179 Specialists

Practicing in Dayton, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Katie Tackett

Peer Specialist

NPI 1053966168
NPI 1265132211

Chemical Dependency Counselor Assistant, CPRS

Emily Kinzing

Peer Specialist

NPI 1437085974
Amy Muran

Peer Specialist

NPI 1467251561
NPI 1467379586

MASW, OCPS, Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2025

Registered at 526 XENIA AVE, DAYTON, OH 454101824 (Tel: 9379491524)

📍
Updated Business Mailing Address September 24, 2025

Registered at 1157 WALDEN CT, LEBANON, OH 450368827

👤
Provider Name / Credentials Updated September 24, 2025

Recorded as JASON JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417820796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2025
Last Update: September 24, 2025
Sole Proprietor: Yes

Mailing Address

1157 Walden Ct

Lebanon, OH 450368827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.