William Witmer Jenkins, D.ED.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY175 Issued in NV

Practice address

844 W Nye LN Ste 201
Carson City, NV 89703-1570

Phone

(775) 885-7717

Fax

(775) 283-0231

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sierra Counseling and Neurotherapy LLCGroup PAC ID 6204267420, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sierra Counseling & Neurotherapy, LLC

  • Marriage & Family Therapist
  • Carson City, NV
  • NPI 1336204114

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1447315205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W NYE LN STE 201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031570",
            "telephone_number": "775-885-7717",
            "fax_number": "775-283-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W NYE LN STE 201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031570",
            "telephone_number": "775-885-7717",
            "fax_number": "775-283-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2874 N Carson St",
            "address_2": "Ste 215",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060177",
            "country_code": "US",
            "telephone_number": "775-885-7717",
            "fax_number": "775-283-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "WILLIAM",
        "middle_name": "WITMER",
        "name_prefix": "Dr.",
        "credential": "D.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507929",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michele Sturgill James, PT, DPT
• Gianna Marie James, PT, DPT
• Robin S James, PH.D.
• Mark Elliot Janes, MD
• Jared T Buck DDS LTD
• Rachel Marie Jennings
• Tyler Jobeth Jennings
• Katherine Leigh Jensen, CPC-INTERN
• Ross M Jenson, M.D.
• Melissa Anne Jezek, PT

• Clinical Psychologist in Carson City, NV
• Providers in Carson City, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.