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NPI Code Detail

MEDICARE: NICHOLAS JENKINS LPCC

MEDICARE: NICHOLAS JENKINS LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor306853KY

General Provider Information

NPI Number : 1942060090
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS JENKINS LPCC
Provider Business Mailing Address
First Line : 1823 AUGUSTA DR APT 4
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-2427
Country : US
Telephone Number : 859-440-6241
Fax Number :
Provider Business Practice Location Address
First Line : 3147 CUSTER DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-4020
Country : US
Telephone Number : 859-447-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/23/2026

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Directions to “ NICHOLAS JENKINS LPCC” Practice Location

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