Active NPI
Desiree Jenks-Asay, LPC
- Professional Counselor
- Idaho Falls, ID
National Provider Identifier
1003436148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-6675
- Practice address
- 615 Hoopes Ave
Idaho Falls, ID 83401-6106 - Phone
- (208) 542-0352
- NPI assigned
- Apr 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-6675 | ID | Primary |
Addresses
Primary practice location
615 Hoopes Ave
Idaho Falls, ID 83401-6106
Mailing address
1010 Austin Ave
Idaho Falls, ID 83404-5568
Phone (530) 902-8989
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 |
|---|---|---|---|
| LPC-6675 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Counseling Center Inc | Current | Accepting new patients |
Locations
615 Hoopes Ave
Idaho Falls, ID 83401
Phone (208) 542-0352
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Idaho Falls, ID
- NPI 1518097690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587168000000",
"number": "1003436148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 AUSTIN AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045568",
"telephone_number": "530-902-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOOPES AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016106",
"telephone_number": "208-542-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKS-ASAY",
"first_name": "DESIREE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-18",
"last_updated": "2020-04-18",
"certification_date": "2020-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-6675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.