DORIS JENKINS
NPI 1417318460
Counselor - Professional in Champaign, IL

Active since March 17, 2016PECOS EnrolledAccepts Medicare Assignment
701 DEVONSHIRE DR STE 102E, CHAMPAIGN, IL 61820(217) 343-7707 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Apr 18, 2022, Mar 17, 2016 (3 updates tracked since 2016).

About Doris Jenkins NPPES

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

DORIS JENKINS (NPI 1417318460) is an individual professional provider in Champaign, Illinois, licensed in Illinois (180.011509) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417318460
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDORIS JENKINS
Location Address701 DEVONSHIRE DR STE 102EChampaign, IL 61820-7337
Mailing Address701 Devonshire Dr Ste 102eChampaign, IL 61820-7337 · (217) 343-7707
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 17, 2016
Last NPPES UpdateMay 5, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1417318460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.011509
701 DEVONSHIRE DR STE 102E, Champaign, IL 61820

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

Doris 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 ID4880117217
PECOS Enrollment IDI20250326003434
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

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

Counselor (Professional)
701 DEVONSHIRE DR STE 102E
CHAMPAIGN, IL 61820

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 Doris Jenkins's NPI number?

The NPI number for Doris Jenkins is 1417318460. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Doris Jenkins located?

Doris Jenkins practices at 701 Devonshire Dr Ste 102E, Champaign, IL 61820. The listed phone number is (217) 343-7707.

What is Doris Jenkins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Doris Jenkins enrolled in Medicare?

Yes. Doris Jenkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Doris Jenkins was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.