Individual provider Active NPI

Cody Jenkins, MA

  • Mental Health Counselor
  • Lutherville Timonium, MD
National Provider Identifier
1144987108
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP12106 Issued in MD
Practice address
818 Jamieson Rd
Lutherville Timonium, MD 21093-3901
Phone
(410) 236-9615
NPI assigned
Nov 24, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP12106 MD Primary

Addresses

Primary practice location

818 Jamieson Rd
Lutherville Timonium, MD 21093-3901

Mailing address

818 Jamieson Rd
Lutherville Timonium, MD 21093-3901
Phone (410) 236-9615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address codyjenkins@aquietjourney.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20240219000053 MD Practitioner - Mental Health Counselor 0749624740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians

Practice addresses (Care Compare)

2225 N Charles St
Baltimore, MD 21218-5778
Phone (410) 938-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LGP12106MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Mental Health Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 7, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

Organizations & group practices 3

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1144987108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 JAMIESON RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933901",
            "telephone_number": "410-236-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 JAMIESON RD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933901",
            "telephone_number": "410-236-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CODY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "codyjenkins@aquietjourney.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA-compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "818 Jamieson Rd",
            "city": "Lutherville Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210933901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.