Individual provider Active NPI

Jocelyne Klasen, PHD

  • Counseling Psychologist
  • Farmington, NM
National Provider Identifier
1063854263
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY1495 Issued in NM
Practice address
555 S Schwartz Ave
Farmington, NM 87401-5955
Phone
(505) 609-6680
NPI assigned
Jul 29, 2013
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0154901 NM
Counseling Psychologist 103TC1900X PSY1495 NM Primary

Addresses

Primary practice location

555 S Schwartz Ave
Farmington, NM 87401-5955

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2259

Other practice location 1

02 Twin Buttes
Zuni, NM 87327
Phone (505) 782-5719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190409000351 TX Practitioner - Clinical Psychologist 1759622335 Reassigns benefits to 1 organization
I20200413001544 NM Practitioner - Clinical Psychologist 1759622335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 S Schwartz Ave
Behavioral Health Services
Farmington, NM 87401-5955
Phone (505) 609-6680

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0154901NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Feb 10, 2019 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Mar 10, 2020 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Mar 10, 2020 Accepting new patients
Pueblo of Zuni Past Accepting new patients

Locations

555 S Schwartz Ave
Farmington, NM 87401
Phone (505) 564-8073

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1063854263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2259",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S SCHWARTZ AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015955",
            "telephone_number": "505-609-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "02 Twin Buttes",
            "address_purpose": "LOCATION",
            "city": "Zuni",
            "state": "NM",
            "postal_code": "87327",
            "country_code": "US",
            "telephone_number": "505-782-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLASEN",
        "first_name": "JOCELYNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0154901",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "PSY1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.