NPI 1750550646 · live from the CMS NPI Registry
Nicole Marie Jenkins, MS, LMFT
Marriage & Family Therapist in Anchorage, AK. National Provider Identifier 1750550646, active.
NPI record
| NPI | 1750550646 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4045 Lake Otis Pkwy, Anchorage, AK 99508 |
| Practice phone | 907-561-0954 |
| Mailing address | Po Box 2447, Palmer, AK 99645 |
| Enumerated | February 25, 2008 |
| Last updated | May 8, 2019 |
| Sole proprietor | No |
| Other names | Nicole Montague |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Marriage & Family Therapist | 106H00000X | 52743 (CA) |
| Marriage & Family Therapist primary | 106H00000X | 270 (AK) |
| Counselor, Mental Health | 101YM0800X | — |
| Marriage & Family Therapist | 106H00000X | 62465 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.