Individual provider Active NPI

William Thomas Zaffiro Jr.

  • Mental Health Counselor
  • Painesville, OH
National Provider Identifier
1457867384
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901140-SUPV Issued in OH
Practice address
7630 Kniffen Rd
Painesville, OH 44077-8858
Phone
(216) 408-1587
NPI assigned
Dec 14, 2017
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 CS.00001827 OH
Mental Health Counselor 101YM0800X E.1901140-SUPV OH Primary
Professional Counselor 101YP2500X C.1500716 OH

Addresses

Primary practice location

7630 Kniffen Rd
Painesville, OH 44077-8858

Mailing address

7630 Kniffen Rd
Painesville, OH 44077-8858
Phone (216) 408-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CS.00001827OHMDAddiction (Substance Use Disorder) Counselor
C.1500716OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1457867384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 KNIFFEN RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440778858",
            "telephone_number": "216-408-1587",
            "fax_number": "216-404-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 KNIFFEN RD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440778858",
            "telephone_number": "216-408-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFIRO",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CS.00001827",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901140-SUPV",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1500716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.