Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles William Jenks

Individual provider Counselor · NPI 1295145985

Charles William Jenks is a Clinical Psychologist in Pocatello, Idaho. Qualified in 2017, 9 years ago. Practices with Psychological Assessment Specialists PLLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2014
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Practice location Address checks out

1246 Yellowstone Ave Ste C5
Pocatello, ID 83201-4373
Phone: (208) 233-0150
Fax: (208) 233-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1295145985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESMay 2, 2014
Mailing address1246 Yellowstone Ave Ste C5, Pocatello, ID 83201-4373

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Psychological Assessment Specialists Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello