MR. TIMOTHY MICHAEL JENKINS (M.A.) – Professional Counselor, NPI 1043378250

MR. TIMOTHY MICHAEL JENKINS (M.A.) is a healthcare provider. based in Oak forest, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. They hold a License No. 180-003704 (IL). The NPI Number for MR. TIMOTHY MICHAEL JENKINS (M.A.) is 1043378250

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY MICHAEL JENKINS (M.A.)
NPI
1043378250
Phone
(708) 275-0934
Address
5320 159TH ST STE 100
Enumeration Date
4 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8158421912
Graduation Year
1997 (29 years ago)
PAC ID
6709324593
Professional Enrollment ID
I20240812001486
Address ID
IL617642746PO210XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MR. TIMOTHY MICHAEL JENKINS (M.A.)

  • West 159th Street, Oak Forest, Bremen Township, Cook County, Illinois, 60452, United States

    OAK FOREST, IL 604523329

    Phone: (708) 275-0934

    Fax: (708) 827-0485

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240812001486IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60452)

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Reviews

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Frequently asked questions

What is the registry number for MR. TIMOTHY MICHAEL JENKINS (M.A.)?
The registry entry for MR. TIMOTHY MICHAEL JENKINS (M.A.) shows NPI 1043378250.
Does the public listing show MR. TIMOTHY MICHAEL JENKINS (M.A.) as active?
MR. TIMOTHY MICHAEL JENKINS (M.A.)'s NPI record reflects an active status in NPPES.
What type of care does MR. TIMOTHY MICHAEL JENKINS (M.A.) provide?
MR. TIMOTHY MICHAEL JENKINS (M.A.)'s profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
Is MR. TIMOTHY MICHAEL JENKINS (M.A.) tied to Oak Forest, Illinois?
If you are local to Oak Forest, Illinois, MR. TIMOTHY MICHAEL JENKINS (M.A.) may be relevant to your search.
Can I export MR. TIMOTHY MICHAEL JENKINS (M.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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