Active NPI
Jerry A. Jenkins, M.ED., MAC
- Mental Health Counselor
- Anchorage, AK
National Provider Identifier
1629008156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4020 Folker St
Anchorage, AK 99508-5321 - Phone
- (907) 563-1000
- Fax
- (907) 563-2045
- NPI assigned
- Jul 3, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LDC0000000255 | TN | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4020 Folker St
Anchorage, AK 99508-5321
Mailing address
PO Box 231129
Anchorage, AK 99523-1129
Phone (907) 563-1000
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDC0000000255 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1891922852
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1134173172
-
- Adult Day Care Clinic/Center
- Anchorage, AK
- NPI 1396964870
-
- Adult Mental Health Clinic/Center
- Anchorage, AK
- NPI 1538389598
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1326268301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629008156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231129",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995231129",
"telephone_number": "907-563-1000",
"fax_number": "907-563-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 FOLKER ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085321",
"telephone_number": "907-563-1000",
"fax_number": "907-563-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JERRY",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "M.ED., MAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LDC0000000255",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.