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

Xavier Lewis Jenkins, COUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114531514

Xavier Lewis Jenkins, COUNSELOR is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

5062 N 19th Ave Ste 102
Phoenix, AZ 85015-3225
Phone: (480) 629-5994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13332 (AZ)

Record details

NPI number1114531514
Entity typeIndividual (Type 1)
GenderMale
Credentials COUNSELOR
Sole proprietorYes
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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