Active NPI
Nicholas Jenkins, LPCC
- Professional Counselor
- Lexington, KY
National Provider Identifier
1942060090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 306853
- Practice address
- 3147 Custer Dr
Lexington, KY 40517-4020 - Phone
- (859) 447-0855
- NPI assigned
- Mar 19, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 306853 | KY | Primary |
Addresses
Primary practice location
3147 Custer Dr
Lexington, KY 40517-4020
Mailing address
1823 Augusta Dr Apt 4
Lexington, KY 40505-2427
Phone (859) 440-6241
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 |
|---|---|---|---|
| 306853 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lionheart Trauma Support Services, LLC | Current | Accepting new patients |
Locations
3147 Custer Dr
Lexington, KY 40517
Phone (859) 314-8786
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.
-
- Clinical Social Worker
- Lexington, KY
- NPI 1538638515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1942060090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 AUGUSTA DR APT 4",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052427",
"telephone_number": "859-440-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3147 CUSTER DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405174020",
"telephone_number": "859-447-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "NICHOLAS",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "306853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.