Active NPI
Noah James Jenkins, CDCA
- Addiction (Substance Use Disorder) Counselor
- Athens, OH
National Provider Identifier
1396429908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18489
- Practice address
- 86 Columbus Rd Ste 103a
Athens, OH 45701-1331 - Phone
- (740) 594-2276
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18489 | OH | Primary |
Addresses
Primary practice location
86 Columbus Rd Ste 103a
Athens, OH 45701-1331
Mailing address
52 Westwood Dr Apt 5
Gallipolis, OH 45631-2623
Phone (740) 560-3088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18489 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1396429908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WESTWOOD DR APT 5",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456312623",
"telephone_number": "740-560-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 COLUMBUS RD STE 103A",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011331",
"telephone_number": "740-594-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "NOAH",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "18489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.