IndividualActive
Larry Jenkins, CACII, NCACII, B.S.
NPI 1558846196 · Addiction (Substance Use Disorder) Counselor · Peachtree City, GA
Provider details
- NPI number
- 1558846196
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CACII, NCACII, B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 1684CACII (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 Peachtree Ct Ste a
Peachtree City, GA 30269-4800
Phone: (770) 719-1746
Fax: (770) 716-2368
Street-level locationGet directions
Mailing address
41 Farmer St Ste 101
Newnan, GA 30263-8672
Additional practice locations (1)
- 41 Farmer St Ste 101Newnan, GA 30263-8672Phone: (770) 683-3150Fax: (770) 683-3151
Registry dates
- Enumerated
- 2018-09-29
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.