Active NPI
Nicole Marie Jenkins, MS, LMFT, LPC-S
- Marriage & Family Therapist
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 270
- Practice address
- 1363 W Spruce Ave
Wasilla, AK 99654-5327 - Phone
- (907) 376-2411
- Fax
- (907) 352-3363
- NPI assigned
- Feb 25, 2008
- Last updated
- Oct 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 201083 | AK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 52743 | CA | |
| Marriage & Family Therapist | 106H00000X | 270 | AK | Primary |
Addresses
Primary practice location
1363 W Spruce Ave
Wasilla, AK 99654-5327
Mailing address
PO Box 2447
Palmer, AK 99645-2447
Phone (530) 270-9023
Other names 1
- Nicole Marie Montague
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 Gambell St
Suite 200
Anchorage, AK 99501-4664
Phone (907) 563-1000
4020 Folker St
Anchorage, AK 99508-5386
Phone (907) 563-1000
4045 Lake Otis Pkwy
Anchorage, AK 99508-5227
Phone (907) 563-1000
4120 Laurel St
Suite 200
Anchorage, AK 99508-5392
Phone (907) 563-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270 | AK | MD | Marriage & Family Therapist |
| 62465 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Community Mental Health Services, Inc | Current | Accepting new patients | |
| Anchorage Community Mental Health Services Inc. | Current | Accepting new patients | |
| Anchorage Community Mental Health Services Inc. | Current | Accepting new patients | |
| Mat - Su Health Services Inc. | Past | Accepting new patients |
Locations
4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954
4045 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508
Phone (907) 337-5650
4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440
1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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 1326268301
-
dba Steven A. Cohen Military Family Clinic at Alaska Behavioral Health
- Community/Behavioral Health Agency
- Fairbanks, AK
- NPI 1699354381
-
dba Alaska Behavioral Health
- Primary Care Nurse Practitioner
- Fairbanks, AK
- NPI 1083431688
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wasilla, AK
- NPI 1184725210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793232000000",
"number": "1750550646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2447",
"city": "PALMER",
"state": "AK",
"postal_code": "996452447",
"telephone_number": "530-270-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 W SPRUCE AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996545327",
"telephone_number": "907-376-2411",
"fax_number": "907-352-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, LMFT, LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2026-10-29",
"certification_date": "2026-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "201083",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52743",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AK",
"license": "270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MONTAGUE",
"middle_name": "MARIE",
"credential": "MS, LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.