CARLY JENKINSON (NPI# 1063997062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063997062 |
| Entity Type | Individual |
| Full Name | CARLY JENKINSON |
| Practice Address |
5929 Mountain Ave Juneau AK 99801-9710 |
| Mailing Address |
Po Box 32839 Juneau AK 99803-2839 |
| Practice Telephone | 9252169758 |
| Mailing Telephone | 9077897610 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
5929 MOUNTAIN AVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639295 | Tiffany S Schneider | Case Manager/Care Coordinator | 3225 Hospital Dr., Suite 202, Juneau, AK 99801 | 2018-02-16 |
| 1851746531 | Jonathan Estes | Case Manager/Care Coordinator | 9687 Moraine Way, Juneau, AK 99801 | 2016-04-29 |
| 1437494614 | Jacquelyn Culliton | Case Manager/Care Coordinator | 3869 Caroline St., Juneau, AK 99821 | 2012-11-29 |
| 1851539068 | Paul Samuel Boggs | Case Manager/Care Coordinator | 9109 Mendenhall Mall Rd Ste 5d, Juneau, AK 99801-7136 | 2009-01-26 |
| 1558574889 | Monique S Wick | Case Manager/Care Coordinator | 9301 Glacier Hwy Ste 100, Juneau, AK 99801-9380 | 2007-05-07 |
| 1467059279 | Heather Karpstein | Case Manager/Care Coordinator | 3100 Channel Dr Ste 300, Juneau, AK 99801-7837 | 2020-10-05 |
| 1215534425 | Katie Dawn Jacobs | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-10-01 |
| 1902412554 | Henry Melville | Case Manager/Care Coordinator | 3250 Hospital Dr, Juneau, AK 99801 | 2020-09-18 |
| 1114542248 | Amy A Bowers | Case Manager/Care Coordinator | 3225 Hospital Dr Unit 202, Juneau, AK 99801-7863 | 2020-06-15 |
| 1699312082 | Ashley Hunt | Case Manager/Care Coordinator | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-12-04 |
| Find all providers in JUNEAU | ||||
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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.