ELENA JENKINS
NPI 1013620723
Counselor - Mental Health in East Peoria, IL

Active since December 28, 2022PECOS EnrolledAccepts Medicare Assignment
111 W WASHINGTON ST STE 230, EAST PEORIA, IL 61611(309) 477-5607 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elena Jenkins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELENA JENKINS (NPI 1013620723) is an individual mental health provider in East Peoria, Illinois and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013620723
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELENA JENKINS
Location Address111 W WASHINGTON ST STE 230East Peoria, IL 61611-2560
Mailing Address111 W Washington St Ste 230East Peoria, IL 61611-2560 · (309) 477-5607
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
NPI 1013620723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 W WASHINGTON ST STE 230, East Peoria, IL 61611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elena Jenkins is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153831268
PECOS Enrollment IDI20250609000997
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
111 W WASHINGTON ST STE 230
EAST PEORIA, IL 61611
Counselor (Mental Health)
111 W WASHINGTON ST STE 230
EAST PEORIA, IL 61611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013620723, enumerated as an "individual" on December 28, 2022.

The provider is located at 111 W WASHINGTON ST STE 230 EAST PEORIA, IL 61611 and the phone number is (309) 477-5607.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.