Maria Allen-Jenkins, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

130742 Issued in KY

Practice address

3044 Breckenridge LN Ste 203
Louisville, KY 40220-3100

Phone

(502) 438-2240

Fax

(502) 873-0062

NPI assigned

Sep 12, 2007

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1013102987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 BRECKENRIDGE LN STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203100",
            "telephone_number": "502-438-2240",
            "fax_number": "502-873-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 BRECKENRIDGE LN STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203100",
            "telephone_number": "502-438-2240",
            "fax_number": "502-873-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-JENKINS",
        "first_name": "MARIA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "130742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allegiance to Self
• Allegiance to Self Recovery
• Allegiant Speech Pathology
• Jessica Alleman
• Amanda Allen-Herm
• Allison Leigh Allen, LMFT
• Amanda Allen
• Amy Jena Allen, OTRL
• Angela Opal Allen, APRN
• Ashley Allen, BCBA

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.