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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BROCK DEVERE CARTER JENIKOVSKY CADC III, ICADC
NPI 1730936642
Counselor - Addiction (Substance Use Disorder) in Indio, CA

Active since April 30, 2024
44359 PALM ST, INDIO, CA 92201(760) 342-6616(760) 347-8276 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Mr. Brock Devere Carter Jenikovsky Cadc Iii, Icadc NPPES

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

MR. BROCK DEVERE CARTER JENIKOVSKY CADC III, ICADC (NPI 1730936642) is an individual addiction (substance use disorder) provider in Indio, California, licensed in California (A051980920) and active in the NPI registry since April 2024. He maintains a secondary practice location in Palm Springs.

NPPES Registry Identity

NPI1730936642
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BROCK DEVERE CARTER JENIKOVSKYCredential: CADC III, ICADC
Location Address44359 PALM STIndio, CA 92201-3116
Mailing Address44359 Palm StIndio, CA 92201-3116 · (760) 883-7441
Phone(760) 342-6616
Fax(760) 347-8276
Sole ProprietorNo
Enumeration DateApril 30, 2024
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1730936642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A051980920
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
44359 PALM ST, Indio, CA 92201
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Secondary Practice Location 1

Location 1333 S Farrell DrPalm Springs, CA 92262-7905 · Phone (760) 416-1360 · Fax (760) 416-1362

Other Providers at the Same Location NPPES 20

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

ASHLEY MIRANDA LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
RAFAEL ALVAREZ
Peer Specialist
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 668-4479
HEIDI CHRISTINE FLORES
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
DEBORAH ANN MORAN-VILLARREAL LVN
Licensed Vocational Nurse
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
MRS. MARCI BERRY
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (310) 779-1947
IRENE MICHELLE ROJAS
Counselor (Addiction (Substance Use Disorder))
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
NYDIA ELLENA MARAVILLA RADT
Behavior Technician
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616
DIANA OLIGER
Social Worker (Clinical)
44359 PALM ST
INDIO, CA 92201
Riverside County (760) 342-6616

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 Brock Jenikovsky's NPI number?

The NPI number for Brock Jenikovsky is 1730936642. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Brock Jenikovsky located?

Brock Jenikovsky practices at 44359 Palm St, Indio, CA 92201. The listed phone number is (760) 342-6616.

What is Brock Jenikovsky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brock Jenikovsky was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.