Active NPI
Barbara Jenkins, PH.D
- Clinical Psychologist
- Augusta, GA
National Provider Identifier
1811182504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10717
- Practice address
- 1227 Augusta West Pkwy
Augusta, GA 30909-6670 - Phone
- (706) 631-1841
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 4, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | LPC006291 | GA | |
| Clinical Psychologist | 103TC0700X | PY10717 | GA | Primary |
Addresses
Primary practice location
1227 Augusta West Pkwy
Augusta, GA 30909-6670
Mailing address
2304 Perot Dr
Hephzibah, GA 30815-6921
Phone (706) 399-5036
Other practice location 1
6041 Indianhead Road
Building 2412
Ft Benning, AP 31905
Phone (706) 399-5036
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006291 | GA | MD | Professional Counselor |
| PY10717 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Evaluations | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Martinez, GA
- NPI 1881371326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1811182504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 PEROT DR",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308156921",
"telephone_number": "706-399-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 AUGUSTA WEST PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096670",
"telephone_number": "706-631-1841"
}
],
"practiceLocations": [
{
"address_1": "6041 Indianhead Road",
"address_2": "Building 2412",
"address_purpose": "LOCATION",
"city": "Ft Benning",
"state": "AP",
"postal_code": "31905",
"country_code": "US",
"telephone_number": "706-399-5036",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006291",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PY10717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.