MR. JERRY A. JENKINS (NPI# 1629008156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629008156 |
| Entity Type | Individual |
| Full Name | MR. JERRY A. JENKINS |
| Credential | M.ED., MAC |
| Practice Address |
4020 Folker St Anchorage AK 99508-5321 |
| Mailing Address |
Po Box 231129 Anchorage AK 99523-1129 |
| Practice Telephone | 9075631000 |
| Practice Fax Number | 9075632045 |
| Mailing Telephone | 9075631000 |
| Mailing Fax Number | 9075632045 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000000255 | TN | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497783823 | Jerry H Jenkins | Emergency Medicine | 2427 Fm 3258, Lufkin, TX 75904-0683 | 2006-06-28 |
| 1831184688 | Jerry Jenkins II | Podiatrist | 533 Gandy St Ne, Russellville, AL 35653-1965 | 2005-09-19 |
| 1134621758 | Jerry D Jenkins | Licensed Vocational Nurse | 1314 Lake St Ste 101, Fort Worth, TX 76102-4582 | 2018-02-28 |
| 1851553390 | Jerry Lewis Jenkins | Dentist | 1009 Crowder Dr, Midlothian, VA 23113-4237 | 2008-06-26 |
| Street Address |
4020 FOLKER ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173172 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-05-22 |
| 1962003822 | Jenna Laine Moretz | Technician, Pathology | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-11-05 |
| 1487254926 | Luke Bradley Offord | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-26 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346857158 | Tatiana Faletoi | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-25 |
| 1770199903 | Garreth Edwin | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-22 |
| 1922614320 | Linda Setterberg | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-21 |
| 1104431667 | Noryln L Aquino | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-11 |
| 1326652223 | Yannick Hodgin | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-08 |
| 1891305488 | Alisha Rukovishnikoff | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1548896293 | Yazmin B Sanchez | Counselor | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-03-13 |
| 1205470572 | Briana Salome Pili | Counselor | 741 N Bunn St Apt 1, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1104460484 | Erica Lolesio | Counselor | 741 N Bunn St Apt 3, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1598327074 | Anna Sappah | Counselor | 401 W International Airport Rd Ste 27, Anchorage, AK 99518-1168 | 2019-07-03 |
| 1902463581 | Karsandra Dianne Higuera | Counselor | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-05-20 |
| 1760047575 | Kelli Lynne Hyden | Counselor | 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508-2870 | 2019-05-07 |
| 1396244893 | Eydie Yvonne Flygare | Counselor | 8131 Medellin Cir Unit A, Anchorage, AK 99507-3270 | 2018-02-09 |
| Find all providers in ANCHORAGE | ||||
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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.