Active NPI
Jonathan Jenkins
- Counselor
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701004718
- Practice address
- 247 McLaws Cir
Williamsburg, VA 23185-5660 - Phone
- (757) 253-0111
- NPI assigned
- Dec 3, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701004718 | VA | Primary |
Addresses
Primary practice location
247 McLaws Cir
Williamsburg, VA 23185-5660
Mailing address
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Phone (757) 220-3200
Other practice location 1
4034 George Washington Mem Hwy Ste B
Yorktown, VA 23692-2620
Phone (757) 253-0111
Other practice location 2
1657 Merrimac Trl
Williamsburg, VA 23185-5624
Phone (757) 220-3200
Other practice location 3
6523 Main St
Gloucester, VA 23061-6132
Phone (757) 253-0111
Other practice location 4
749A Thimble Shoals Blvd
Newport News, VA 23606-3581
Phone (757) 253-0111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004718 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Behavioral Health | Past | Accepting new patients | |
| Bacon Street Youth and Family Services | Past | Accepting new patients | |
| Colonial Behavioral Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1144376112
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1760565915
-
- Health Maintenance Organization
- Williamsburg, VA
- NPI 1841556776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674864000000",
"number": "1902134943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624",
"telephone_number": "757-220-3200",
"fax_number": "757-253-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 MCLAWS CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855660",
"telephone_number": "757-253-0111"
}
],
"practiceLocations": [
{
"address_1": "4034 George Washington Mem Hwy Ste B",
"address_purpose": "LOCATION",
"city": "Yorktown",
"state": "VA",
"postal_code": "236922620",
"country_code": "US",
"telephone_number": "757-253-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1657 Merrimac Trl",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231855624",
"country_code": "US",
"telephone_number": "757-220-3200",
"fax_number": "757-253-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6523 Main St",
"address_purpose": "LOCATION",
"city": "Gloucester",
"state": "VA",
"postal_code": "230616132",
"country_code": "US",
"telephone_number": "757-253-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "749A Thimble Shoals Blvd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063581",
"country_code": "US",
"telephone_number": "757-253-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-03",
"last_updated": "2023-01-28",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701004718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.