Active NPI
Destinee Phipps
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
National Provider Identifier
1043030083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 189732
- Practice address
- 4725 Parkwick Dr
Columbus, OH 43228-6401 - Phone
- (614) 655-3354
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 189732 | OH | Primary |
Addresses
Primary practice location
4725 Parkwick Dr
Columbus, OH 43228-6401
Mailing address
4725 Parkwick Dr
Columbus, OH 43228-6401
Phone (614) 655-3354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189732 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1043030083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 PARKWICK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432286401",
"telephone_number": "614-655-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 PARKWICK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432286401",
"telephone_number": "614-655-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DESTINEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "189732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.