Individual provider Active NPI

Arthur Edgar Jennings, AOD SPECIALIST

  • Addiction (Substance Use Disorder) Counselor
  • Porterville, CA
National Provider Identifier
1023886561
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
89 E Mill Ave
Porterville, CA 93257-3808
Phone
(559) 853-6222
Fax
(559) 339-2101
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C47811214 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

89 E Mill Ave
Porterville, CA 93257-3808

Mailing address

89 E Mill Ave
Porterville, CA 93257-3808
Phone (559) 853-6222

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
C47811214CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1023886561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E MILL AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573808",
            "telephone_number": "559-853-6222",
            "fax_number": "559-339-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 E MILL AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573808",
            "telephone_number": "559-853-6222",
            "fax_number": "559-339-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ARTHUR",
        "middle_name": "EDGAR",
        "credential": "AOD SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "C47811214",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.