SANDRA KAY JENKINS NPI 1508566316

NPI Information

  • NPI: 1508566316
  • Provider Name: SANDRA KAY JENKINS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 2410 GRAPE RD STE 6
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (742) 170-1285

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NPI Details

Sandra Kay Jenkins is a counselor in Mishawaka, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sandra Kay Jenkins NPI is 1508566316. 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:

2410 GRAPE RD STE 6
MISHAWAKA, IN
ZIP 46545-015
Phone: (742) 170-1285
Fax: (574) 288-3447

The enumeration date for this NPI number is 3/9/2023 and was last updated on 8/15/2024.

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
1101Y00000XCounselorYes
2101YA0400XCounselorAddiction (Substance Use Disorder)No

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: 3/30/2025

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