Active NPI
Corey Jenkins, M.,S
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1790164366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 555 Saint Tammany St Ste D
Baton Rouge, LA 70806-6064 - Phone
- (225) 929-9738
- Fax
- (225) 929-9740
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
555 Saint Tammany St Ste D
Baton Rouge, LA 70806-6064
Mailing address
415 Court St
Port Allen, LA 70767-2747
Phone (225) 245-9070
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Services of Louisiana, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/rehabservices/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1215365689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1790164366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 COURT ST",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "707672747",
"telephone_number": "225-245-9070",
"fax_number": "225-245-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SAINT TAMMANY ST STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066064",
"telephone_number": "225-929-9738",
"fax_number": "225-929-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "COREY",
"credential": "M.,S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.