Active NPI
Amelia Martin Jenkins, CST, MHS
- Mental Health Counselor
- New Orleans, LA
National Provider Identifier
1407380231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7717 Primrose Dr
New Orleans, LA 70126-1944 - Phone
- (504) 919-6904
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Surgical Technologist | 246ZS0410X | 160554 | LA |
Addresses
Primary practice location
7717 Primrose Dr
New Orleans, LA 70126-1944
Mailing address
7717 Primrose Dr
New Orleans, LA 70126-1944
Phone (504) 919-6904
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 |
|---|---|---|---|
| 160554 | LA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1407380231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 PRIMROSE DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701261944",
"telephone_number": "504-919-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 PRIMROSE DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701261944",
"telephone_number": "504-919-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "AMELIA",
"middle_name": "MARTIN",
"credential": "CST, MHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "LA",
"license": "160554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.