DORIS JENKINS
NPI 1417318460
Counselor - Professional in Champaign, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Doris Jenkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Champaign, IL 61820
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Doris Jenkins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Doris Jenkins reassigns Medicare benefits to Doris Jenkins Counseling LLC (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Doris Jenkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Doris Jenkins · NPI 1417318460
Professional provider in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since March 17, 2016.
## Identity
- **NPI:** 1417318460 (Entity type: Individual)
- **Enumerated:** March 17, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.011509 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 DEVONSHIRE DR STE 102E, Champaign, IL 61820-7337
- **Phone:** (217) 343-7707
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Doris Jenkins Counseling LLC (NPI 1013650050, Champaign, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417318460) · Data from the CMS NPPES public registry.