Active NPI
Autumn Rain Russell Jenkins
- Behavior Technician
- North Charleston, SC
National Provider Identifier
1811668155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7850 Rivers Ave
North Charleston, SC 29406-4016 - Phone
- (843) 588-5677
- NPI assigned
- Sep 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7850 Rivers Ave
North Charleston, SC 29406-4016
Mailing address
306 N Main St Ste 1a
Hinesville, GA 31313-2562
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 |
|---|---|---|---|
| Spectrum of Hope | Current | Accepting new patients |
Locations
306 N Main St
Ste 1A
Hinesville, GA 31313
Phone (912) 294-4055
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.
-
- Behavior Analyst
- Hinesville, GA
- NPI 1346709961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1811668155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N MAIN ST STE 1A",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064016",
"telephone_number": "843-588-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "AUTUMN",
"middle_name": "RAIN RUSSELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.