Jamaal Jenkins, PEER SUPPORT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

112650 Issued in OR

Practice address

5201 SW Westgate Dr Ste 222
Portland, OR 97221-2425

Phone

(757) 968-0719

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choices Counseling and Skills Training Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1386400315
  NPD Authorized official
• Heart Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampton, VA
  • NPI 1073263372
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1659187730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR STE 222",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212425",
            "telephone_number": "757-968-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SW WESTGATE DR STE 222",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212425",
            "telephone_number": "757-968-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JAMAAL",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "112650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Antonia Jenkins
• Brandi Rose Jenkins
• Christina Marie Jenkins
• Christopher Lee Jenkins I, LMSW
• Daniela Beilic Jenkins, PHARMD
• James Jenkins, MASTER'S SOCIAL WORK
• Jennifer Anne Jenkins, ARNP, PHMNP-BC
• Juniper Jenkins
• Kathryn Aileen Jenkins, LMT
• Kindra Jenkins

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.