Individual provider Active NPI

Carroll Gardner Jenkins, LCSW, LAC, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Helena, MT
National Provider Identifier
1427110303
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
672 Issued in MT
Practice address
1002 N Benton Ave
Helena, MT 59601-2752
Phone
(406) 442-3045
Fax
(406) 442-3144
NPI assigned
Dec 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 672 MT Primary
Clinical Social Worker 1041C0700X 59 MT

Addresses

Primary practice location

1002 N Benton Ave
Helena, MT 59601-2752

Mailing address

1002 N Benton Ave
Helena, MT 59601-2752
Phone (406) 442-3045

Other identifiers 2

IdentifierTypeStateIssuer
70070OtherMTPROVIDER NUMBER BC BS
0500240MedicaidMT

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
59MTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1427110303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N BENTON AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012752",
            "telephone_number": "406-442-3045",
            "fax_number": "406-442-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N BENTON AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012752",
            "telephone_number": "406-442-3045",
            "fax_number": "406-442-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CARROLL",
        "middle_name": "GARDNER",
        "name_prefix": "Mr.",
        "credential": "LCSW, LAC, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "672",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "59",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER BC BS",
            "identifier": "70070",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500240",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.