Organization Active NPI

Danielle D Jenkins PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olympia, WA
National Provider Identifier
1427671403
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DANIELLE D JENKINS PLLC
Practice address
324 West Bay Drive NW
Suite 218
Olympia, WA 98502-9850
Phone
(360) 339-4079
NPI assigned
May 25, 2020
Last updated
May 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Dr. Danielle D Jenkins, PSYDNPI 1093978868
Title
Owner
Phone
(360) 339-4079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

324 West Bay Drive NW
Suite 218
Olympia, WA 98502-9850

Mailing address

4007 Bridgeport Way W Ste a
University Place, WA 98466-4330
Phone (360) 339-4079

Other practice location 1

4007 Bridgeport Way W Ste A
University Place, WA 98466-4330
Phone (360) 339-4079

Other identifiers 1

IdentifierTypeStateIssuer
1457723504OtherNPI

National Provider Directory

National Provider Directory

Locations

4007 Bridgeport Way W
Ste A
University Place, WA 98466
Phone (253) 201-3215

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1427671403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 BRIDGEPORT WAY W STE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664330",
            "telephone_number": "360-339-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST BAY DRIVE NW",
            "address_2": "SUITE 218",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029850",
            "telephone_number": "360-339-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4007 Bridgeport Way W Ste A",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664330",
            "country_code": "US",
            "telephone_number": "360-339-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIELLE D JENKINS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-339-4079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457723504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.