Active NPI
Kimberly Cochran Jenkins
- Professional Counselor
- Shelby, NC
National Provider Identifier
1285979963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1201 S Post Rd Ste 2
Shelby, NC 28152-7417 - Phone
- (704) 366-8712
- Fax
- (704) 362-8464
- NPI assigned
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1201 S Post Rd Ste 2
Shelby, NC 28152-7417
Mailing address
6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712
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": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1285979963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 THERMAL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115630",
"telephone_number": "704-366-8712",
"fax_number": "704-362-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S POST RD STE 2",
"city": "SHELBY",
"state": "NC",
"postal_code": "281527417",
"telephone_number": "704-366-8712",
"fax_number": "704-362-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KIMBERLY",
"middle_name": "COCHRAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.