Individual provider Active NPI

Jennifer Colebaugh

  • Mental Health Counselor
  • Tipp City, OH
National Provider Identifier
1487362844
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7695 S County Road 25a
Tipp City, OH 45371-9215
Phone
(937) 667-4678
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7695 S County Road 25a
Tipp City, OH 45371-9215

Mailing address

2531 Belfrey Way Apt H
Beavercreek, OH 45324-7526
Phone (937) 478-6160

Other practice location 1

1 McRill Way
Anna, OH 45302-5030
Phone (937) 394-2011

Other practice location 2

1625 Troy Sidney Rd
Troy, OH 45373-9794
Phone (937) 440-3000

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Creation Counseling Center PastSince Apr 21, 2024 Accepting new patients
New Creation Counseling Inc PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1487362844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 BELFREY WAY APT H",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "453247526",
            "telephone_number": "937-478-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 S COUNTY ROAD 25A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453719215",
            "telephone_number": "937-667-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 McRill Way",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "OH",
            "postal_code": "453025030",
            "country_code": "US",
            "telephone_number": "937-394-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Troy Sidney Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453739794",
            "country_code": "US",
            "telephone_number": "937-440-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEBAUGH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.