JEREMY HOWARD JENSEN (NPI# 1689978439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689978439 |
| Entity Type | Individual |
| Full Name | JEREMY HOWARD JENSEN |
| Practice Address |
3641 Stony Point Rd Santa Rosa CA 95407-8080 |
| Mailing Address |
Po Box 3 San Geronimo CA 94963-0003 |
| Practice Telephone | 6193474743 |
| Mailing Telephone | 6193474743 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598272643 | Jeremy R Jensen | Registered Nurse | 7500 Mercy Rd Ste 1355, Omaha, NE 68124-2319 | 2018-01-10 |
| 1992255848 | Jeremy Jensen | Counselor | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-10-04 |
| 1336571710 | Jeremy George Jensen | Pharmacist | 1316 W Highway 40, Vernal, UT 84078-4203 | 2013-08-07 |
| 1881822583 | Jeremy Evans Jensen | Surgery | 1 Hospital Dr, Columbia, MO 65212-0001 | 2009-07-01 |
| 1346322500 | Jeremy Allen Jensen | Psychiatry & Neurology | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402-6780 | 2006-10-19 |
| Street Address |
3641 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942341631 | Kristen Jennifer Rhoades | Marriage & Family Therapist | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-02-08 |
| 1790038560 | California Parenting Institute | Psychologist | 3641 Stony Point Rd, Santa Rosa, CA 95407 | 2012-10-18 |
| 1629359500 | Sari Lynne Pace | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2011-09-06 |
| 1083947501 | Rochelle Ann Henderson | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2009-09-15 |
| 1104075506 | Elena Chieffo | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2008-09-10 |
| 1396992046 | Rosemary Laura Melchor | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2008-08-25 |
| 1760678866 | Lea Mazzei | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-21 |
| 1710173992 | Bridgette Bartel | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-20 |
| 1972799468 | Maureen Elizabeth Crane | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-09-19 |
| 1801914825 | Steven Orma | Counselor | 3641 Stony Point Rd, Santa Rosa, CA 95407-8080 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1730710260 | Harold Joseph Bahr | Counselor | 1550 N Dutton Ave, Santa Rosa, CA 95401-4601 | 2020-02-03 |
| 1801432398 | William Carroll | Counselor | 1260 N Dutton Ave Ste 185, Santa Rosa, CA 95401-7146 | 2019-11-20 |
| 1497390462 | Emily Sue Hamp | Counselor | 1202 Woodlake Dr, Santa Rosa, CA 95405-9217 | 2019-11-13 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1174005540 | Amal Saeed Ahmed | Counselor | 2908 Bay Village Cir Apt 2108, Santa Rosa, CA 95403-3611 | 2018-09-03 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1992223192 | Jill Mcculloch | Counselor | 300 Stony Point Rd Apt 190, Santa Rosa, CA 95401-5960 | 2017-09-07 |
| 1497299325 | Janice Anne Myers | Counselor | 3746 Oregon Dr, Santa Rosa, CA 95405-7136 | 2016-12-12 |
| 1689128001 | Wakanda Rose | Counselor | 254 Brey Rd, Santa Rosa, CA 95409-5556 | 2016-08-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on JEREMY HOWARD JENSEN.
| 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.