NPIMap

Individual provider Active NPI

Zachary Osborn Jones, CRM, CADC-R, CPR/AED

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1821867458
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-23-2741 Issued in OR
Practice address
3035 NE Martin Luther King Blvd Apt 211
Portland, OR 97212-3094
Phone
(503) 488-0256
NPI assigned
Dec 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 T-23-2741 OR Primary

Addresses

Primary practice location

3035 NE Martin Luther King Blvd Apt 211
Portland, OR 97212-3094

Mailing address

3035 NE Martin Luther King Blvd Apt 211
Portland, OR 97212-3094
Phone (503) 488-0256

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
T-23-2741ORMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1821867458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NE MARTIN LUTHER KING BLVD APT 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123094",
            "telephone_number": "503-488-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NE MARTIN LUTHER KING BLVD APT 211",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123094",
            "telephone_number": "503-488-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ZACHARY",
        "middle_name": "OSBORN",
        "credential": "CRM, CADC-R, CPR/AED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-23-2741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.