Individual provider Active NPI

James Perry Jenkins Jr., MA, LPC, NCC

  • Mental Health Counselor
  • Bossier City, LA
National Provider Identifier
1891015418
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3671 Issued in LA
Practice address
5170 Heatherton Dr
Bossier City, LA 71111-7825
Phone
(318) 470-0931
Fax
(318) 658-9012
NPI assigned
Jun 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3671 LA
Mental Health Counselor 101YM0800X 3671 LA Primary

Addresses

Primary practice location

5170 Heatherton Dr
Bossier City, LA 71111-7825

Mailing address

5170 Heatherton Dr
Bossier City, LA 71111-7825
Phone (318) 470-0931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001074 LA Practitioner - Mental Health Counselor 9133501521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Counseling Services, LLC CurrentSince Jul 24, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1891015418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 HEATHERTON DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117825",
            "telephone_number": "318-470-0931",
            "fax_number": "318-658-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 HEATHERTON DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117825",
            "telephone_number": "318-470-0931",
            "fax_number": "318-658-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JAMES",
        "middle_name": "PERRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3671",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.