Larry Jenkins, CACII, NCACII, B.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1684CACII Issued in GA

Practice address

116 Peachtree CT Ste a
Peachtree City, GA 30269-4800

Phone

(770) 719-1746

Fax

(770) 716-2368

NPI assigned

Sep 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Arise Recovery Residences

  dba Arise Recovery & Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Peachtree City, GA
  • NPI 1508529827
  NPD Authorized official
• Arise Recovery Consultants, LLC

  dba Arise Counseling Services

  • Recovery Care Clinic/Center
  • Newnan, GA
  • NPI 1770825176
  NPD

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1558846196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FARMER ST STE 101",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302638672",
            "telephone_number": "770-683-3150",
            "fax_number": "770-683-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PEACHTREE CT STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694800",
            "telephone_number": "770-719-1746",
            "fax_number": "770-716-2368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Farmer St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302638672",
            "country_code": "US",
            "telephone_number": "770-683-3150",
            "fax_number": "770-683-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LARRY",
        "credential": "CACII, NCACII, B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-29",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1684CACII",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "larryj822@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Farmer St Ste 101",
            "city": "Newnan",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302638672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jays Medical Supplies
• Danielle Jebelean-Dos Santos
• Margaret L Jeffers
• Jeffrey a. Sherman, MD, PC (Your Family Doctor)
• Kianna Jemison
• Jennifer Pollock Shankle
• Rebecca Jensen, PT
• Jacqueline Jimenez, LCSW
• Janet Martinez Jobson, PHARM.D.
• John J Giovanelli DC PC

• Addiction (Substance Use Disorder) Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.