Individual provider Active NPI

Pamela Jean Jenkins, LMT, MSW, LSW

  • Massage Therapist
  • Cincinnati, OH
National Provider Identifier
1982144390
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7760 Issued in OH
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

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982144390MedicaidOH

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

LicenseStateTypeSpecialty
S0017315OHMDSocial Worker
7760OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Make Me Over Wholistic Health and Stress Management Cent LLC CurrentSince Aug 14, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.