JEFFREY JAY CHRISTENSEN (NPI# 1356488878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356488878 |
| Entity Type | Individual |
| Full Name | JEFFREY JAY CHRISTENSEN |
| Other Name | CHRISTENSEN FAMILY THERAPY, PLLC |
| Credential | LMFT |
| Practice Address |
1900 S Main St Suite 112 Wake Forest NC 27587-5026 |
| Mailing Address |
1529 Main Divide Dr Wake Forest NC 27587-6194 |
| Practice Telephone | 9197573440 |
| Practice Fax Number | 9195625696 |
| Mailing Telephone | 9197573440 |
| Mailing Fax Number | 9195625696 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1138 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6105161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154396901 | Jeffrey C Christensen | Podiatrist | 3131 Nassau St, Ste 101, Everett, WA 98201-4137 | 2006-02-22 |
| 1720415904 | Jeffrey Lyle Christensen | Nurse Anesthetist, Certified Registered | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2013-10-02 |
| 1992064588 | Jeffrey Paul Christensen | Pharmacist | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2012-05-16 |
| 1063506731 | Jeffrey Ned Christensen | Counselor | 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 | 2006-10-03 |
| 1568574697 | Jeffrey Victor Christensen | Ophthalmology | 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 | 2006-08-31 |
| Street Address |
1900 S MAIN ST SUITE 112 |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770937880 | Christensen Family Therapy, Pllc | Marriage & Family Therapist | 1900 S Main St, Wake Forest, NC 27587-5026 | 2016-04-15 |
| 1942509534 | Higgins, Mani & Watson Vi Dds Pa | Dentist | 1900 S Main St, Ste 206, Wake Forest, NC 27587-5026 | 2011-03-22 |
| 1336367184 | George Mani, Dds, Pa | Dentist | 1900 S Main St, Suite 206, Wake Forest, NC 27587-5026 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979926 | Bridget A Flynn | Marriage & Family Therapist | 8428 Territory Trl, Wake Forest, NC 27587-4434 | 2020-03-30 |
| 1518499508 | Serenity & Grace Therapeutic Services | Marriage & Family Therapist | 1788 Heritage Center Dr, Suite 202, Wake Forest, NC 27587-3948 | 2017-03-30 |
| 1750794772 | Nicole Stone | Marriage & Family Therapist | 10500 Ligon Mill Rd Ste 101, Wake Forest, NC 27587-4576 | 2014-06-06 |
| 1215168646 | Align Counseling | Marriage & Family Therapist | 220 S White St Ste 10, Wake Forest, NC 27587-2781 | 2009-08-03 |
| 1548476039 | Frank Paul Green | Marriage & Family Therapist | 7716 Fall Branch Ct, Wake Forest, NC 27587-8719 | 2007-05-14 |
| 1205050705 | Melissa B Muller | Marriage & Family Therapist | 150-a N. White St., Wake Forest, NC 27587-1828 | 2007-04-13 |
| 1225186711 | Shelly Hummel | Marriage & Family Therapist | 220 S White St, Wake Forest, NC 27587-2781 | 2007-01-08 |
| 1043385347 | John F Kubiak | Marriage & Family Therapist | 3206 Heritage Trade Dr, Suite 108-a, Wake Forest, NC 27587-4486 | 2006-11-21 |
| 1053498733 | Carole Celia Cullen | Marriage & Family Therapist | 9228 Linslade Way, Wake Forest, NC 27587-5023 | 2006-11-01 |
| 1770937880 | Christensen Family Therapy, Pllc | Marriage & Family Therapist | 1900 S Main St, Wake Forest, NC 27587-5026 | 2016-04-15 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on JEFFREY JAY CHRISTENSEN.
| 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.