Cynthia Darlene Jenkins, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4894 Issued in SC

Practice address

200 Elm St
Conway, SC 29526-5118

Phone

(843) 488-1615

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Justice Works Behavioral Care

  • Counselor
  • Conway, SC
  • NPI 1750627899
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1497097935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BOND ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713530",
            "telephone_number": "843-260-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265118",
            "telephone_number": "843-488-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CYNTHIA",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4894",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "86699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana C James, OD
• Lillie James
• Mark S Jeanjaquet, MD
• Jebediah S. Christy, D.D.S - Conway, PLLC
• Sabrina Jelks, LMSW
• Summer M Jenkins, FNP-C
• Jennie Cassidy Psychologist LLC
• Jennifer Edwards Butler, DMD, PA
• Gunnar Lavaur Jeppson, DO
• Aisha M Jimenez

• Professional Counselor in Conway, SC
• Providers in Conway, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.