Active NPI
Dominiqiue Janay Jenkins
- Mental Health Counselor
- Avondale, AZ
National Provider Identifier
1013614213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10320 W McDowell Rd Ste 7022
Avondale, AZ 85392-4871 - Phone
- (623) 215-8189
- NPI assigned
- Feb 8, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10320 W McDowell Rd Ste 7022
Avondale, AZ 85392-4871
Mailing address
335 N Alma School Rd
Chandler, AZ 85224-4363
Phone (480) 641-1165
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline at Alphaomega | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Chandler, AZ
- NPI 1225404684
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avondale, AZ
- NPI 1497229314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1013614213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 N ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244363",
"telephone_number": "480-641-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 W MCDOWELL RD STE 7022",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924871",
"telephone_number": "623-215-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DOMINIQIUE",
"middle_name": "JANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.