Individual provider Active NPI

Joe Lee Jenkins

  • Professional Counselor
  • Beaumont, TX
National Provider Identifier
1477066397
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3455 Sarah St
Beaumont, TX 77705-2906
Phone
(713) 942-8100
Fax
(713) 533-1408
NPI assigned
Nov 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3455 Sarah St
Beaumont, TX 77705-2906

Mailing address

6327 Diamond Rock Dr
Katy, TX 77449-4220
Phone (832) 418-9524

Other practice location 1

3007 Caroline St
Houston, TX 77004-2822
Phone (713) 942-8100

Other names 1

  • Joe Lee Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260610001689 TX Practitioner - Mental Health Counselor 3870064835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6414 Annunciation St
Houston, TX 77016-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Street, LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

3455 Sarah St
Beaumont, TX 77705

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1477066397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 DIAMOND ROCK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494220",
            "telephone_number": "832-418-9524",
            "fax_number": "281-861-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 SARAH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777052906",
            "telephone_number": "713-942-8100",
            "fax_number": "713-533-1408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770042822",
            "country_code": "US",
            "telephone_number": "713-942-8100",
            "fax_number": "713-533-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "JENKINS",
            "middle_name": "LEE",
            "credential": "LPC - S LIC # 62961",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.