Active NPI
Steven Robert Jenkins, M.S.
- Professional Counselor
- Memphis, TN
National Provider Identifier
1790814903
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 19, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1473
- Practice address
- 3810 Winchester Rd
Memphis, TN 38118-6045 - Phone
- (901) 369-1420
- Fax
- (901) 369-1433
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1473 | TN | Primary |
Addresses
Primary practice location
3810 Winchester Rd
Memphis, TN 38118-6045
Mailing address
3810 Winchester Rd
Memphis, TN 38118-6045
Phone (901) 369-1420
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1473 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1790814903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186045",
"telephone_number": "901-369-1420",
"fax_number": "901-369-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186045",
"telephone_number": "901-369-1420",
"fax_number": "901-369-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "STEVEN",
"middle_name": "ROBERT",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.