KELLY M JENSEN (NPI# 1326388612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326388612 |
| Entity Type | Individual |
| Full Name | KELLY M JENSEN |
| Practice Address |
619 N 500 W Provo UT 84601-1547 |
| Practice Telephone | 8013754240 |
| Practice Fax Number | 8013754241 |
| Mailing Telephone | 8013754240 |
| Mailing Fax Number | 8013754241 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548645245 | Kelly Jensen | Specialist | 19 Mallard Ave, Selden, NY 11784-2309 | 2015-07-23 |
| 1548670698 | Kelly Jensen | Social Worker | 314 5th St W, Ste. 1, Bottineau, ND 58318-1204 | 2014-04-29 |
| 1255834057 | Kelly Jensen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-03-17 |
| 1013368190 | Kelly Jensen | Physical Therapy Assistant | 801 S Briggs St, 2nd Floor, Joliet, IL 60433-9591 | 2016-06-29 |
| 1033455845 | Kelly Ann Jensen | Nurse Practitioner | 3920 Outlook Rd, Sunnyside, WA 98944-9202 | 2012-12-26 |
| 1497955330 | Kelly D Jensen | Orthopaedic Surgery | 280 N Hospital Dr, Price, UT 84501-4216 | 2007-07-19 |
| 1326131335 | Kelly M Jensen | Physician Assistant | 6401 Prairie St, Suite 2300, Norton Shores, MI 49444-7840 | 2006-10-02 |
| 1568446227 | Kelly Elizabeth Clark Jensen | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2005-12-05 |
| Street Address |
619 N 500 W |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417977505 | Susan R Dyle | Physician Assistant | 619 N 500 W, Provo, UT 84601-1547 | 2006-07-20 |
| 1902430531 | Brighter Path Addiction Medicine | Obstetrics & Gynecology | 619 N 500 W, Provo, UT 84601-1547 | 2020-02-21 |
| 1598267122 | Utah Addiction Medicine | Family Medicine | 619 N 500 W, Provo, UT 84601-1547 | 2018-02-28 |
| 1306387105 | Brenton Lisonbee | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2017-03-13 |
| 1114469921 | Janessa Rasmussen | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1750823563 | Camille Brown | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1922540731 | Keiyana Osmond | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1003358813 | Haley Allmendinger | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1740648898 | Alexis Zimmerman | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2016-02-04 |
| 1245697978 | Carlos Ensaldo | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261848 | Jon Nathan Jensen | Counselor | 1025 W 450 N, Provo, UT 84601-2518 | 2020-09-29 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1497241905 | Pamela Sue Smith | Counselor | 2696 N University Ave Ste 238, Provo, UT 84604-3848 | 2018-07-09 |
| 1346661600 | Paisley Ann Eddy | Counselor | 717 N 1850 W, Provo, UT 84604 | 2014-01-03 |
| 1760730600 | Sacred Hoop Healing Center | Counselor | 210 W 200 N, Suite 106, Provo, UT 84601-2852 | 2012-08-27 |
| 1518231216 | Mariah Hurst | Counselor | 723 W 1850 N, Provo, UT 84604-1416 | 2012-02-28 |
| 1316229446 | Julia Dumont | Counselor | 715 W 1850 N, Provo, UT 84604-1416 | 2011-09-14 |
| 1750679445 | Karie Swenson | Counselor | 420 Idaho Ave, Provo, UT 84606-5236 | 2011-07-14 |
| 1710290044 | Nicole Cherie Nelson | Counselor | 721 W 1850 N, Provo, UT 84604-1416 | 2010-07-15 |
| 1609189992 | Cynthia Graves | Counselor | 1445 West 1100 North, Provo, UT 84604-6018 | 2010-07-15 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.