Active NPI
Pamela Jean Jenkins, LMT, MSW, LSW
- Massage Therapist
- Cincinnati, OH
National Provider Identifier
1982144390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7760
- Practice address
- 7642 Reading Rd
Cincinnati, OH 45237-3204 - Phone
- (513) 888-3198
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0017315 | OH | |
| Massage Therapist | 225700000X | 7760 | OH | Primary |
Addresses
Primary practice location
7642 Reading Rd
Cincinnati, OH 45237-3204
Mailing address
10979 Reed Hartman Hwy Ste 100
Blue Ash, OH 45242-2857
Phone (513) 888-3198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982144390 | Medicaid | OH |
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 |
|---|---|---|---|
| S0017315 | OH | MD | Social Worker |
| 7760 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Make Me Over Wholistic Health and Stress Management Cent LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients |
Locations
10979 Reed Hartman Hwy
Ste 100
Blue Ash, OH 45242
Phone (513) 888-3198
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Blue Ash, OH
- NPI 1831826817
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1982144390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10979 REED HARTMAN HWY STE 100",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452422857",
"telephone_number": "513-888-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7642 READING RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452373204",
"telephone_number": "513-888-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "PAMELA",
"middle_name": "JEAN",
"credential": "LMT, MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0017315",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "7760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982144390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.