MR. DEANGELO LACLARENCE JELKS
NPI 1346442548
Counselor - Mental Health in East Ridge, TN

Q: What is Deangelo Jelks's NPI number?

The NPI number for Deangelo Jelks is 1346442548. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Deangelo Jelks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Deangelo Jelks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2007

3623 FOUNTAIN AVE, APARTMENT 73, EAST RIDGE, TN 37412(423) 954-8860 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Deangelo Laclarence Jelks NPPES

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

MR. DEANGELO LACLARENCE JELKS (NPI 1346442548) is an individual mental health provider in East Ridge, Tennessee and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1346442548

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DEANGELO LACLARENCE JELKS

Location Address3623 FOUNTAIN AVE, APARTMENT 73East Ridge, TN 37412-1846

Mailing Address3623 Fountain Ave, Apartment 73East Ridge, TN 37412-1846 · (423) 954-8860

Phone(423) 954-8860

Sole ProprietorNo

Enumeration DateJune 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346442548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

3623 FOUNTAIN AVE, East Ridge, TN 37412

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deangelo Jelks's NPI number?

The NPI number for Deangelo Jelks is 1346442548. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Deangelo Jelks located?

Deangelo Jelks practices at 3623 Fountain Ave Apartment 73, East Ridge, TN 37412. The listed phone number is (423) 954-8860.

What is Deangelo Jelks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deangelo Jelks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.