Individual provider Active NPI

Jeffrey Scott Zipes

  • Addiction (Substance Use Disorder) Counselor
  • Beavercreek, OH
National Provider Identifier
1306852231
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
011346 Issued in OH
Practice address
42 Woodcroft TRL
Suite C
Beavercreek, OH 45430-1995
Phone
(937) 830-6333
Fax
(937) 830-6333
NPI assigned
Jul 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 011346 OH Primary
Mental Health Counselor 101YM0800X E2399 OH
Social Worker 104100000X S-21100 OH

Addresses

Primary practice location

42 Woodcroft TRL
Suite C
Beavercreek, OH 45430-1995

Mailing address

42 Woodcroft TRL
Suite C
Beavercreek, OH 45430-1995
Phone (937) 830-6333

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

LicenseStateTypeSpecialty
011346OHMDAddiction (Substance Use Disorder) Counselor
E2399OHMDMental Health Counselor
S-21100OHMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306852231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WOODCROFT TRL",
            "address_2": "SUITE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301995",
            "telephone_number": "937-830-6333",
            "fax_number": "937-830-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WOODCROFT TRL",
            "address_2": "SUITE C",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301995",
            "telephone_number": "937-830-6333",
            "fax_number": "937-830-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPES",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011346",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2399",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-21100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.