Individual provider Active NPI

Joy'L Jenkins, LCSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1679824965
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-35686 Issued in ID
Practice address
1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488
Phone
(208) 512-5085
Fax
(800) 865-1927
NPI assigned
Sep 26, 2012
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-35686 ID Primary

Addresses

Primary practice location

1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488

Mailing address

1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488
Phone (208) 512-5085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160613001581 ID Practitioner - Clinical Social Worker 5991095887 Reassigns benefits to 1 organization
I20250909002699 MT Practitioner - Clinical Social Worker 5991095887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Mental HealthGroup PAC ID 3072416676, 13 clinicians

Practice addresses (Care Compare)

915 1St Ave S
Great Falls, MT 59401-3705
Phone (406) 791-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-35686IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Clinical CurrentSince Aug 1, 2025 Accepting new patients
Conceptual Counseling LLC Clinical CurrentSince Aug 1, 2019 Accepting new patients
Conceptual Counseling LLC Past Accepting new patients
Conceptual Counseling LLC Past Accepting new patients
Conceptual Counseling LLC Past Accepting new patients

Locations

1620 Northwest Blvd
Ste 101
Coeur D Alene, ID 83814
Phone (208) 512-5085

560 W Canfield Ave
Ste 300
Coeur D Alene, ID 83815
Phone (208) 758-7111

621 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

915 1st Ave S
Great Falls, MT 59401
Phone (406) 443-7151

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.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1679824965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-512-5085",
            "fax_number": "800-865-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-512-5085",
            "fax_number": "800-865-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOY'L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.