Timothy Michael Jenkins, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-003704 Issued in IL

Practice address

5320 159TH St Ste 100
Oak Forest, IL 60452-3329

Phone

(708) 275-0934

Fax

(708) 827-0485

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orland Park Counselors PCGroup PAC ID 5890233688, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Orland Park Counselors PC

  • Counselor
  • Orland Park, IL
  • NPI 1982361408
  Medicare reassignment Care Compare group NPD Authorized official
• Wise Willow Inc

  • Adult Mental Health Clinic/Center
  • Oak Lawn, IL
  • NPI 1992522965
  Medicare reassignment NPD Authorized official
• Futures Unlimited, Inc

  • Adult Mental Health Clinic/Center
  • Pontiac, IL
  • NPI 1740044452
  Medicare reassignment NPD
• Lighthouse Wellness Centers

  • Mental Health Counselor
  • Oak Forest, IL
  • NPI 1891815916
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043378250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523329",
            "telephone_number": "708-275-0934",
            "fax_number": "708-827-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523329",
            "telephone_number": "708-275-0934",
            "fax_number": "708-827-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia R James, PTA
• Jamie Gilmartin Licensed Clinical Professional Counselor
• Khalil Salam Jarrad Salomon, DMD
• Sheela Jayaram, M.D.
• Gia Michelle Jemilo, MHS, CCC-SLP
• Jill H. Austin, DPM
• John G. Hohner D.O., S.C.
• John H. Stroger, Jr. Hospital of Cook County
• Samantha Johnson
• Tyler Johnson, LMT, CCMA, CNA

• Professional Counselor in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.