Lydia R Jenkins, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.167760 Issued in OH

Practice address

15221 St. RT. 124
Piketon, OH 45661

Phone

(740) 961-1295

NPI assigned

Oct 30, 2017

Last updated

Aug 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lydia.jenkins.p1@direct.thecounselingcenter.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1811409899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 STATE ROUTE 522",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15221 ST. RT. 124",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "45661",
            "telephone_number": "740-961-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4578 Gallia Pike",
            "address_purpose": "LOCATION",
            "city": "Franklin Furnace",
            "state": "OH",
            "postal_code": "45629",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "fax_number": "740-532-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4578 Gallia Pike",
            "address_purpose": "LOCATION",
            "city": "Franklin Furnace",
            "state": "OH",
            "postal_code": "45629",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "fax_number": "740-532-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LYDIA",
        "middle_name": "R",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CMS",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vesta Howard
• Robert Hurles
• Staci Huston
• Janice Ingham, L.P.N.
• Elizabeth Jenkins
• Betsy Ann Jennings
• Steven Johnson
• Heath Jones
• Krista Jones
• Wesley Jordan

• Addiction (Substance Use Disorder) Counselor in Piketon, OH
• Providers in Piketon, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.