Individual provider Active NPI

Jonathan Jenkins

  • Counselor
  • Williamsburg, VA
National Provider Identifier
1902134943
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701004718 Issued in VA
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

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0701004718VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Behavioral Health PastSince Sep 1, 2005 Accepting new patients
Bacon Street Youth and Family Services PastSince Jan 29, 2023 Accepting new patients
Colonial Behavioral Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.