Individual provider Active NPI

Laquaysia Anderson-Jenkins

  • Counselor
  • Jamaica Plain, MA
National Provider Identifier
1063970853
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
555 Armory St Ste 3
Jamaica Plain, MA 02130-2672
Phone
(617) 522-0900
Fax
(617) 522-0904
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

555 Armory St Ste 3
Jamaica Plain, MA 02130-2672

Mailing address

555 Armory St Ste 3
Jamaica Plain, MA 02130-2672
Phone (617) 522-0900

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

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1063970853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ARMORY ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302672",
            "telephone_number": "617-522-0900",
            "fax_number": "617-522-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ARMORY ST STE 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302672",
            "telephone_number": "617-522-0900",
            "fax_number": "617-522-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-JENKINS",
        "first_name": "LAQUAYSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.