MS. AUDREY A JENSEN (NPI# 1407336506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407336506 |
| Entity Type | Individual |
| Full Name | MS. AUDREY A JENSEN |
| Credential | LPCA |
| Practice Address |
1104 S Main St Ste A Lexington NC 27292 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3362422450 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A13992 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1407336506 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3410 Healy Dr Ste 207, Winston Salem, NC 271031568 | 3367937005 | 3369232001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822031 | Audrey Jensen | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave # P347, Milwaukee, WI 53226-3522 | 2019-03-27 |
| Street Address |
1104 S MAIN ST STE A |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358254 | Candice Epps Jackson | Counselor | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2013-12-18 |
| 1750992004 | Marlena M Preece | Social Worker | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2020-08-11 |
| 1548726250 | Hollin Elizabeth Drane | Licensed Practical Nurse | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2019-02-18 |
| 1679042832 | Nicole Genung | Counselor | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2018-11-17 |
| 1982170049 | Marlene Ann Hnilica | Nurse Practitioner | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2018-10-16 |
| 1407337363 | Samantha Dawn Dollarhite | Social Worker | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1447871199 | Hadassah Gomez | Counselor | 119 Brookside Pkwy, Lexington, SC 29072-4234 | 2020-05-05 |
| 1215560479 | Mary Elizabeth Ford | Counselor | 130 Gibson Rd, Lexington, SC 29072-3429 | 2020-02-17 |
| 1689205809 | Jonathan Mitchell, LLC | Counselor | 3175 Custer Dr Ste 303, Lexington, KY 40517-4023 | 2020-01-27 |
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1932679826 | Carrie Ann Corbett | Counselor | 160 Moore Dr Ste 201, Lexington, KY 40503-2936 | 2018-12-04 |
| Find all providers in LEXINGTON | ||||
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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.