Individual provider Active NPI

Teleshia Jenkins

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1285006767
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LP008500 Issued in GA
Practice address
940 Hwy 96
Warner Robins, GA 31093
Phone
(478) 988-1222
Fax
(478) 988-1050
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LP008500 GA Primary

Addresses

Primary practice location

940 Hwy 96
Warner Robins, GA 31093

Mailing address

614 American Blvd
Warner Robins, GA 31093-2373
Phone (478) 919-3173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250124002584 GA Practitioner - Mental Health Counselor 5597200162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP008500GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teleshia L Jenkins LPC Professional Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1285006767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 AMERICAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932373",
            "telephone_number": "478-919-3173",
            "fax_number": "478-988-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HWY 96",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TELESHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LP008500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.