DR. JENNICA RACHEL JENKINS PSYD LPC LPCC PPS NPI 1023308079

NPI Information

NPI: 1023308079
Provider Name: DR. JENNICA RACHEL JENKINS, PSYD, LPC, LPCC, PPS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1899 E ROSEVILLE PKWY STE 140
ROSEVILLE, CA
ZIP 95661
Phone: (916) 747-3799
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DR. Jennica Rachel Jenkins, PSYD, LPC, LPCC, PPS is a professional counselor in Roseville, CA. DR. Jennica Rachel Jenkins, PSYD, LPC, LPCC, PPS NPI is 1023308079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1899 E ROSEVILLE PKWY STE 140
ROSEVILLE, CA
ZIP 95661-980
Phone: (916) 747-3799

The enumeration date for this NPI number is 4/12/2011 and was last updated on 10/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	PSYD CCU SANTA ANA		No
2	101YM0800X	Counselor	Mental Health	EXAM PASS # 275107		No
3	101YP2500X	Counselor	Professional	LPC6072	COLORADO	No
4	101YP2500X	Counselor	Professional	26	CALIFORNIA	Yes
5	101YS0200X	Counselor	School	50164430	CALIFORNIA	No
6	146D00000X	Personal Emergency Response Attendant		TRAUMA AND LOSS CERT		No
7	1744R1102X	Specialist	Research Study	ADOLESCENT		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26	OTHER	CALIFORNIA	CA BOARD OF BEHAVIORAL SCIENCES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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