Active NPI
Cheryl Jean Jenkins-Akers, LAADAC, CCDP, MHPP
- Counselor
- Berryville, AR
National Provider Identifier
1518244987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1004 S Main St
Berryville, AR 72616-4330 - Phone
- (870) 423-1077
- Fax
- (870) 741-4088
- NPI assigned
- Nov 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0313AL | AR |
Addresses
Primary practice location
1004 S Main St
Berryville, AR 72616-4330
Mailing address
1004 S Main St
Berryville, AR 72616-4330
Phone (870) 423-1077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307 | Other | AR | CCDP |
| 10100000X | Other | AR | COUNSELOR |
| 0313AL | Other | AR | LAADAC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0313AL | AR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321142400000",
"number": "1518244987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 S MAIN ST",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164330",
"telephone_number": "870-423-1077",
"fax_number": "870-741-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 S MAIN ST",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164330",
"telephone_number": "870-423-1077",
"fax_number": "870-741-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS-AKERS",
"first_name": "CHERYL",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LAADAC, CCDP, MHPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-13",
"last_updated": "2011-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "0313AL",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCDP",
"identifier": "307",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR",
"identifier": "10100000X",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAADAC",
"identifier": "0313AL",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.