Griffith Jenkins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-8121 Issued in ID

Practice address

401 W Front St Ste 302
Boise, ID 83702-5122

Phone

(208) 917-2086

Fax

(208) 330-4447

NPI assigned

Jan 3, 2019

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1841763752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W FRONT ST STE 302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025122",
            "telephone_number": "208-917-2086",
            "fax_number": "208-330-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FRONT ST STE 302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025122",
            "telephone_number": "208-917-2086",
            "fax_number": "208-330-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Wolf Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051221",
            "country_code": "US",
            "telephone_number": "208-917-2086",
            "fax_number": "208-330-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GRIFFITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011284",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401222794",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L. Chandler, DPM
• Lynne Aline Jellum, D.C.
• Jemericus LLC
• Jen Moore Counseling Services, LLC
• Ashley Jenkins, PA
• Janel Rose Jenkins
• Jason Paul Jenkins, MD
• Kristin Jenkins, SLP
• Martha Jenkins, D.C.
• Megan Jenkins

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.