Active NPI
Alex Ronald Tipton, LPC
- Professional Counselor
- Salem, OR
National Provider Identifier
1811327240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5127
- Practice address
- 555 Welcome Way SE
Salem, OR 97302-3931 - Phone
- (503) 930-7729
- NPI assigned
- Nov 21, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Professional Counselor | 101YP2500X | C5127 | OR | Primary |
Addresses
Primary practice location
555 Welcome Way SE
Salem, OR 97302-3931
Mailing address
555 Welcome Way SE
Salem, OR 97302-3931
Phone (503) 930-7729
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 |
|---|---|---|---|
| C5127 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1811327240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 WELCOME WAY SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023931",
"telephone_number": "503-930-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WELCOME WAY SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023931",
"telephone_number": "503-930-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "ALEX",
"middle_name": "RONALD",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-21",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.