Brandi C Jenkins, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ironton, OH
NPI 1740907815 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1740907815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.182973 (OH)
- Practice address
- 214 S 4TH St
Ironton, OH 45638-1610 - Phone
- (740) 532-3767
- Fax
- (740) 532-3385
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.182973 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Outreach Services, LTD | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Spectrum Outreach Services, LTD | Past |
Accepting new patients |
Locations
214 S 4th St
Ironton, OH 45638
Phone (740) 532-3767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.182973 | OH | Yes |
Addresses
Primary practice location
214 S 4TH St
Ironton, OH 45638-1610
Mailing address
214 S 4TH St
Ironton, OH 45638-1610
Phone (740) 532-3767
Other providers in Ironton, OH
- Cheryl James
- James J Jankowski
- Jonathan Edward Jarrell
- Melissa Dawn Jarrell
- Sandra Jarrett
- Brooke E Jenkins
- Geneva Gail Jenkins
- Kenneth Jenkins
- Kevin Jenkins
- Mary Kathryn Jenkins
All providers in Ironton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.