MR. CARROLL GARDNER JENKINS LCSW LAC SAP NPI 1427110303

NPI Information

NPI: 1427110303
Provider Name: MR. CARROLL GARDNER JENKINS, LCSW, LAC, SAP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1002 N BENTON AVE
HELENA, MT
ZIP 59601
Phone: (406) 442-3045
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MR. Carroll Gardner Jenkins, LCSW, LAC, SAP is an addiction (substance use disorder) counselor in Helena, MT. MR. Carroll Gardner Jenkins, LCSW, LAC, SAP NPI is 1427110303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1002 N BENTON AVE
HELENA, MT
ZIP 59601-752
Phone: (406) 442-3045
Fax: (406) 442-3144

The NPI 1427110303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/9/2007.

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)	672	MONTANA	Yes
2	1041C0700X	Social Worker	Clinical	59	MONTANA	X

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	70070	OTHER	MONTANA	PROVIDER NUMBER BC BS
2	70070	MEDICARE UPIN	MONTANA
3	0500240	MEDICAID	MONTANA

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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