Charlene Jenkins, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC003862 Issued in GA

Practice address

4150 Snapfinger Woods Dr Ste 100
Decatur, GA 30035-3417

Phone

(404) 430-9989

Fax

(404) 286-7858

NPI assigned

Sep 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Potters Touch Counseling Inc.

  • Professional Counselor
  • Decatur, GA
  • NPI 1760095814
  NPD Authorized official

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1033460464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "404-430-9989",
            "fax_number": "404-286-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR STE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "404-430-9989",
            "fax_number": "404-286-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHARLENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2022-09-02",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC003862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey K Waters D.M.D., P.C
• Kimberly Jeffrey, M.S. CCC/SLP
• Annemarie Jeffries, PSYD
• Jefrey D Lieberman MD PC
• Jencare Neighborhood Medical Center South Dekalb, LLC
• Dionne L. Jenkins, LCSW
• Jamila Jameace Jenkins
• Karentyn Paige Jenkins
• Miesha Jenkins, M.ED, SLP
• Orie Travoy Jenkins

• Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.