Individual provider Active NPI

Laura Lea Jensen, PHD

  • Psychologist
  • Las Vegas, NV
National Provider Identifier
1063637486
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0851 Issued in NV
Practice address
9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone
(702) 498-0871
Fax
(702) 445-6434
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2585 CO
Psychologist 103T00000X PY0851 NV Primary

Addresses

Primary practice location

9414 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Mailing address

9213 Las Manaitas Ave Unit 401
Las Vegas, NV 89144-6631
Phone (702) 498-0871

Other practice location 1

3400 E Bayaud Ave
Suite 460
Denver, CO 80209-2926
Phone (303) 777-4627

Other practice location 2

9811 W Charleston Blvd Ste 2-781
Las Vegas, NV 89117-7528
Phone (702) 498-0871

Other identifiers 2

IdentifierTypeStateIssuer
PY0851OtherNVLICENSE NUMBER
2585OtherCOLICENSE NUMBER

Other names 1

  • Dr. Laura Jensen Guarnera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2585COMDProfessional Counselor
PY0851NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephanie Holland LTD Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1063637486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 LAS MANAITAS AVE UNIT 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446631",
            "telephone_number": "702-498-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-498-0871",
            "fax_number": "702-445-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 E Bayaud Ave",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802092926",
            "country_code": "US",
            "telephone_number": "303-777-4627",
            "fax_number": "303-404-3544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9811 W Charleston Blvd Ste 2-781",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891177528",
            "country_code": "US",
            "telephone_number": "702-498-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "2585",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PY0851",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2585",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GUARNERA",
            "middle_name": "JENSEN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.