Individual provider Active NPI

Danielle R Jenkins, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbrier, AR
National Provider Identifier
1104401025
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
214713 Issued in AR
Practice address
8 S Broadview St
Greenbrier, AR 72058-9601
Phone
(501) 506-1587
NPI assigned
Mar 11, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 214713 AR Primary

Addresses

Primary practice location

8 S Broadview St
Greenbrier, AR 72058-9601

Mailing address

PO Box 414
Greenbrier, AR 72058-0414
Phone (501) 506-1587

Other practice location 1

3001 W Roosevelt Rd
Little Rock, AR 72204-5658
Phone (501) 340-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601000512 AR Practitioner - Nurse Practitioner 4183023880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coco Psychiatric Services PLLCGroup PAC ID 9537579750, 7 clinicians
Heal Within Counseling and Consulting IncGroup PAC ID 0244648764, 16 clinicians

Practice addresses (Care Compare)

10816 Executive Ctr Dr
Suite 104
Little Rock, AR 72211-4381
Phone (501) 506-1587

15 Trina Loop
Greenbrier, AR 72058-9062

220 S Broadview St
Greenbrier, AR 72058-9616
Phone (501) 679-0232

351 Hwy 25 N
Greenbrier, AR 72058-9450

PO Box
Suite 414
Greenbrier, AR 72058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
214713ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coco Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2023 Accepting new patients
Renew Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2021 Accepting new patients
Renew Mental Health and Wellness, LLC CurrentSince May 1, 2021 Accepting new patients
Heal Within Counseling and Consulting Inc Psychiatric/Mental Health CurrentSince Sep 20, 2021 Accepting new patients

Locations

3025 Fountain Dr
Ste 200
Conway, AR 72034
Phone (501) 327-0110

575 Harkrider St
#A
Conway, AR 72032
Phone (501) 679-0232

220 S Broadview St
Greenbrier, AR 72058
Phone (501) 679-0232

8 S Broadview St
Ste E
Greenbrier, AR 72058
Phone (501) 679-0232

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

10816 Executive Center Dr
Ste 104
Little Rock, AR 72211
Phone (501) 506-1587

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1104401025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720580414",
            "telephone_number": "501-506-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S BROADVIEW ST",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589601",
            "telephone_number": "501-506-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722045658",
            "country_code": "US",
            "telephone_number": "501-340-6646",
            "fax_number": "501-975-4129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "214713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

Verify at the official NPI Registry.