Jennda LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JENNDA LLC

Practice address

4305 N Royal St
Coeur D Alene, ID 83815-9237

Phone

(208) 889-8594

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Ann Hawkins, MS, SUDPNPI 1790293959

Title

Co-Owner

Phone

(208) 889-8594

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ann Hawkins, SUDP, LMHCA

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1790293959
  Authorized official Same address or phone

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1356968895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19604",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992190034",
            "telephone_number": "208-889-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N ROYAL ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159237",
            "telephone_number": "208-889-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-889-8594",
        "authorized_official_credential": "MS, SUDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennda.llc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Company Referral Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4305 N Royal St",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838159237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffery T. Meech, PSYD, PA
• Carmen Jeffrey, LMSW
• David Donald Vernon Jenkins
• Joy'L Jenkins, LCSW
• Shelton Hunter Jenkins
• Jennifer Romero LCSW, Cadc, LLC (Restored Paths)
• Jenny Sheffield Counseling Services,LLC
• Priscilla Jean Jensen
• Tatiana Marie Jepma, NP
• Jericho Health & Wellness, PC (Jericho Chiropractic Health)

• Substance Use Disorder Rehabilitation Clinic/Center in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.