Individual provider Active NPI

La-Toya Jenkins

  • Professional Counselor
  • Emporia, VA
National Provider Identifier
1932718285
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009610 Issued in VA
Practice address
407 Halifax St Ste 3
Emporia, VA 23847-1722
Phone
(804) 404-8241
Fax
(804) 800-4483
NPI assigned
Jul 23, 2020
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013085 GA
Professional Counselor 101YP2500X 0701009610 VA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

407 Halifax St Ste 3
Emporia, VA 23847-1722

Mailing address

PO Box 5573
Richmond, VA 23220-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240723000302 GA Practitioner - Mental Health Counselor 8224574678 Reassigns benefits to 1 organization
I20241106002141 VA Practitioner - Mental Health Counselor 8224574678 Reassigns benefits to 1 organization
I20241220000279 NC Practitioner - Mental Health Counselor 8224574678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Huguenot Rd
Suite 100
North Chesterfield, VA 23235-4311
Phone (804) 613-2692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013085GAMDProfessional Counselor
18320NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jun 5, 2024 Accepting new patients
Take Time for You Professional CurrentSince Jul 9, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1901 Huguenot Rd
Ste 100
North Chesterfield, VA 23235
Phone (804) 375-4350

221 Ruthers Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 464-8420

Interoperability endpoints

  • Direct secure messaging: la-toyajenkins@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1932718285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5573",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232200573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 HALIFAX ST STE 3",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471722",
            "telephone_number": "804-404-8241",
            "fax_number": "804-800-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LA-TOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013085",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009610",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

Verify at the official NPI Registry.