Individual provider Active NPI

Jesus Pablo Zamarripa, BA, CAS

  • Addiction (Substance Use Disorder) Counselor
  • Alamosa, CO
National Provider Identifier
1447075619
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACC.0021330 Issued in CO
Practice address
2265 Lava LN
Alamosa, CO 81101-3578
Phone
(719) 589-5176
NPI assigned
Nov 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0021330 CO Primary

Addresses

Primary practice location

2265 Lava LN
Alamosa, CO 81101-3578

Mailing address

725 Washington St
Monte Vista, CO 81144-1525
Phone (719) 849-9733

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
ACC.0021330COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1447075619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441525",
            "telephone_number": "719-849-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LAVA LN",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013578",
            "telephone_number": "719-589-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMARRIPA",
        "first_name": "JESUS",
        "middle_name": "PABLO",
        "name_prefix": "Mr.",
        "credential": "BA, CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0021330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.