Toria Davenport Jenks, LCMHCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

714 Carolina Ave Ste a
Yadkinville, NC 27055-7793

Phone

(336) 818-0733

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435
  NPD
• Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Yadkinville, NC
  • NPI 1790249969
  NPD
• Sunrise ABA & Autism Services, L.L.C

  • Behavior Analyst
  • Greensboro, NC
  • NPI 1548811177
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1255940581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAPLE LN",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CAROLINA AVE STE A",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557793",
            "telephone_number": "336-818-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Piedmont Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108174",
            "country_code": "US",
            "telephone_number": "336-645-6733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 College Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilkesboro",
            "state": "NC",
            "postal_code": "286972700",
            "country_code": "US",
            "telephone_number": "336-818-0733 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKS",
        "first_name": "TORIA",
        "middle_name": "DAVENPORT",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity-Pinebrook, LLC
• James McGrath MD, PLLC
• Suzanne M James, P.T.
• Charles Brian Jay, OD
• Harriet Diane Jenkins, LCSW
• Christian Paterson Jennings, RPH
• Erica Owen Jernigan, MA, LPC
• Jodi Province Counseling Services PLLC
• Johnson Enterprises of Shelby Inc
• Ada Johnson

• Professional Counselor in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.