Individual provider Active NPI

Jacqueline Kelly Ziebart

  • Mental Health Counselor
  • Silverton, OR
National Provider Identifier
1912452467
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16644 Issued in OR
Practice address
1440 Meadow Ave
Silverton, OR 97381-8724
Phone
(503) 473-4538
NPI assigned
Aug 24, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 A16644 OR Primary

Addresses

Primary practice location

1440 Meadow Ave
Silverton, OR 97381-8724

Mailing address

1440 Meadow Ave
Silverton, OR 97381-8724

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
A16644ORMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: jacqueline.ziebart.p23@direct.wvp.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1912452467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MEADOW AVE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973818724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MEADOW AVE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973818724",
            "telephone_number": "503-473-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEBART",
        "first_name": "JACQUELINE",
        "middle_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A16644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.