MS. LISA ANN JENSEN (NPI# 1912387754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912387754 |
| Entity Type | Individual |
| Full Name | MS. LISA ANN JENSEN |
| Credential | LCPC |
| Practice Address |
1415 Lewis St Dekalb IL 60115-2631 |
| Practice Telephone | 8157515790 |
| Mailing Telephone | 8157515790 |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2015-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.008416 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245690114 | Lisa Jensen | Nurse Practitioner | 100 West Maple Rd., Walled Lake, MI 48390 | 2016-03-04 |
| 1659759355 | Lisa Kristine Jensen | Psychologist | 3252 Holiday Ct Ste 201, La Jolla, CA 92037-1808 | 2015-05-13 |
| 1700159373 | Lisa Jensen | Advanced Practice Midwife | 1624 Estudillo Ave, San Leandro, CA 94577-3916 | 2012-02-13 |
| 1053594028 | Lisa Jensen | Chiropractor | 23531 N East Dr, Barrington, IL 60010 | 2007-12-12 |
| 1184816878 | Lisa Ann Jensen | Occupational Therapist | 30624 457th Ave, Wakonda, SD 57073-6312 | 2007-08-16 |
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1790727733 | Lisa Ann Jensen | Registered Nurse | Slc Va Health Care System, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-12 |
| 1427017623 | Lisa A Jensen | Registered Nurse | N2930 Bauer Ln, Fort Atkinson, WI 53538-9668 | 2006-03-17 |
| 1184005944 | Lisa D Jensen | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2015-06-17 |
| 1730338013 | Lisa R Jensen | Social Worker | 600 25th Ave S, Suite 109, Saint Cloud, MN 56301-4841 | 2008-09-11 |
| Street Address |
1415 LEWIS ST |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720468564 | Colette Marie Maher | Counselor | 1415 Lewis St, Dekalb, IL 60115-2631 | 2015-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487010542 | Patrick Mcmillion | Counselor | 1609 Mayflower Dr, Dekalb, IL 60115-1723 | 2016-01-05 |
| 1598133779 | Kimberly K. Johnson | Counselor | 1543 Stonefield Dr, Dekalb, IL 60115-8906 | 2015-09-04 |
| 1093137440 | Matthew Sprong | Counselor | 2500 N Annie Glidden Rd, Suite F, Dekalb, IL 60115-1310 | 2014-01-19 |
| 1194003574 | Jason D. Spencer | Counselor | 1600 E. Lincoln Highway, Suite D, Dekalb, IL 60115-3905 | 2011-08-02 |
| 1487823977 | Amanda Mccarthy | Counselor | Allied Health and Communicative Disorders, 323j Wirtz Hall Northern Illinois University, Dekalb, IL 60115 | 2008-02-28 |
| 1477606531 | Christopher Joseph Gough | Counselor | 400 East Hillcrest Drive, Suite 100a, Dekalb, IL 60115 | 2007-01-19 |
| 1194880807 | Paul A Legler | Counselor | 14 Health Services, Dekalb, IL 60115 | 2006-12-22 |
| 1487719100 | Joseph Puleo IIi | Counselor | 14 Health Services Dr, Dekalb, IL 60115 | 2006-12-22 |
| 1144393497 | Amylynn M Weiten | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2006-11-16 |
| 1154408565 | Suzanne Marie Krzyzek | Counselor | 444 E Hillcrest Dr, Suite 210, Dekalb, IL 60115-2498 | 2006-11-01 |
| Find all providers in DEKALB | ||||
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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.