Lisa Clark Jenkins

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

058362-23 Issued in NH

Practice address

88 Splitrock Rd
Grantham, NH 03753-3250

Phone

(802) 252-3005

Fax

(603) 676-0015

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Associates of New London PLLC 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Counseling Associates of New London PLLC

  • Mental Health Counselor
  • New London, NH
  • NPI 1205055365

  NH, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• York Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Grantham, NH
  • NPI 1669308912
  NPD (past) Authorized official
• Westbridge, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Manchester, NH
  • NPI 1104050301
  NPD (past)

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1972361673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN ST # 4313",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602913",
            "telephone_number": "802-252-3005",
            "fax_number": "802-676-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 SPLITROCK RD",
            "city": "GRANTHAM",
            "state": "NH",
            "postal_code": "037533250",
            "telephone_number": "802-252-3005",
            "fax_number": "603-676-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LISA",
        "middle_name": "CLARK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "058362-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faodail Pain Management, PLLC
• Nancy J Ferguson, M.D.
• Glengaynor Psychotherapy Practice, LLC
• Golden Hour Wellness PLLC
• Healthy Minds Counseling, PLLC
• Rebecca Lynne Johnson, M.D.
• New England Medicine and Counseling Associates, PLLC
• Ocular Prosthetics LLC
• Pelvic Perspective, LLC
• Lara Pirro, LMFT

• All providers in Grantham, NH
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.