CANDICE S JENKINS (NPI# 1003921628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003921628 |
| Entity Type | Individual |
| Full Name | CANDICE S JENKINS |
| Credential | LPC |
| Practice Address |
300 Medical Dr Hampton VA 23666-1765 |
| Practice Telephone | 7577880092 |
| Practice Fax Number | 7577880969 |
| Mailing Telephone | 7577880092 |
| Mailing Fax Number | 7577880969 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701001585 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 288758 | 01 |
| VA | 5414628 | 05 | |
| VA | MAGELLAN | 530482000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169344 | Candice Jenkins | Behavioral Analyst | 660 N 73rd Ter, Hollywood, FL 33024-7136 | 2016-12-27 |
| 1114535689 | Candice Marie Jenkins | Counselor | 8350 N Saint Clair Ave, Kansas City, MO 64151-5100 | 2020-07-21 |
| 1942839303 | Candice Jenkins | Midwife | 8845 Six Pines Dr Ste 150, Shenandoah, TX 77380-2675 | 2020-04-07 |
| Street Address |
300 MEDICAL DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302648 | Sarah Wiggins | Counselor | 300 Medical Dr, Hampton, VA 23666-1765 | 2019-12-09 |
| 1861855983 | Nathaniel Alexander | Counselor | 300 Medical Dr, Hampton, VA 23666-1765 | 2016-04-05 |
| 1528446507 | Peninsula Institute for Community Health | Clinic/Center | 300 Medical Dr, Hampton, VA 23666-1765 | 2015-05-11 |
| 1851726756 | Cassandra Lee Vetter | Counselor | 300 Medical Dr, Hampton, VA 23666-1765 | 2013-09-10 |
| 1235491671 | Kelly Davis Howard | Counselor | 300 Medical Dr, 2nd Flr, Hampton, VA 23666-1765 | 2012-06-12 |
| 1457626517 | Nicole D Sinkler | Nurse Practitioner | 300 Medical Dr, Suite 400, Hampton, VA 23666-1765 | 2012-03-21 |
| 1154639946 | Kellee L Chambers | Social Worker | 300 Medical Dr, 2nd Flr, Hampton, VA 23666-1765 | 2010-09-15 |
| 1326292376 | Paula Turner Markham | Psychologist | 300 Medical Dr, 2nd Floor, Hampton, VA 23666-1765 | 2008-11-04 |
| 1639359698 | Nina M Williams | Social Worker | 300 Medical Dr, Hampton, VA 23666-1765 | 2007-11-07 |
| 1659424448 | Hampton Newport News Community Services Board | Clinic/Center | 300 Medical Dr, 2nd Floor, Hampton, VA 23666-1765 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204853 | Lynnette Lanae Fogg | Counselor | 600 Medical Dr Ste A&b, Hampton, VA 23666-1769 | 2020-01-14 |
| 1154979771 | Natashia Nicole Cowan | Counselor | 15 Research Dr Ste A, Hampton, VA 23666-1324 | 2019-08-27 |
| 1740834936 | Lecia M Fuller-martin | Counselor | 4410 Claiborne Sq E Ste 3344410, Hampton, VA 23666-2071 | 2019-07-26 |
| 1851951719 | Sueann Nicole Anderson | Counselor | 202 Ward Dr, Hampton, VA 23669-3651 | 2019-06-13 |
| 1831653518 | Laura Anne Ferriola | Counselor | 28 Gallaer Ct, Hampton, VA 23666-5327 | 2019-01-26 |
| 1609340975 | Azz-ert Urself LLC | Counselor | 1702 Todds Ln Ste 380, Hampton, VA 23666-3212 | 2019-01-19 |
| 1134691900 | La'kisha Broughton | Counselor | 13 Ridge Lake Dr, Hampton, VA 23666-1862 | 2018-12-18 |
| 1356842074 | Brenda Ruth Kemp | Counselor | 585 Vaughan Dr, Hampton, GA 30228-5323 | 2018-02-27 |
| 1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
| 1053767020 | Luxtracia Gregory | Counselor | 34 W Queens Way, Hampton, VA 23669-3968 | 2016-05-10 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.