Lafayette Ervin Jenkins, LMHC, LPHA, CAMS-3

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19498 Issued in FL

Practice address

8895 N. Military Trail, Suite 300C
Palm Beach Gardens, FL 33410

Phone

(561) 644-4400

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Keys for Life Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
  • NPI 1093461428
  NPD Authorized official

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1922560168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12288 HAMLIN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122301",
            "telephone_number": "561-644-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N. MILITARY TRAIL, SUITE 300C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-644-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LAFAYETTE",
        "middle_name": "ERVIN",
        "name_prefix": "Mr.",
        "credential": "LMHC, LPHA, CAMS-3",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8509",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Kimoni Jeanmary
• Jeffrey D. Hixenbaugh, O.D., P.a.
• Jeffrey H. Garelick, MD PA
• Jeffrey L Presser MD PA
• Jeffrey R Ward MD PA
• Dena Jenne
• Jennifer Bagwell LLC
• Edward M Jeryan, MD
• Jessica E Harrison, LCSW
• Jetdoc, Inc.

• Mental Health Counselor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.