Marvel Chantel Jenkins, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81705 Issued in TX

Practice address

1007 Jenny Dr
Cleburne, TX 76031-0323

Phone

(817) 933-0376

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1053054650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 JENNY DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760310323",
            "telephone_number": "817-933-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 JENNY DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760310323",
            "telephone_number": "817-933-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARVEL",
        "middle_name": "CHANTEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CLEBURNE",
            "affiliation": "N",
            "endpointDescription": "Via emails, and texting, and secure video conferencing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1007 Jenny Dr",
            "city": "Cleburne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760310323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Eduy J James, DNP,APRIN,FNP-BC
• Jacky Jean-Julien
• Jeffery K Hawkins, MD, PLLC
• Jay B Jensen, M.D.
• Joseph Jessup, PHARMD
• Jjjnemt LLC
• John R Martell Jr MD PA
• Joe Stanley Johnson, MD

• Mental Health Counselor in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.