Individual provider Active NPI

Desiree Jenks-Asay, LPC

  • Professional Counselor
  • Idaho Falls, ID
National Provider Identifier
1003436148
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-6675 Issued in ID
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

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC-6675IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Counseling Center Inc CurrentSince Apr 26, 2020 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.

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.

Verify at the official NPI Registry.