Individual provider Active NPI

Saxen James Martin-Jensen, APCC, CADC

  • Mental Health Counselor
  • San Luis Obispo, CA
National Provider Identifier
1073150793
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC16695 Issued in CA
Practice address
1011 Pacific St
San Luis Obispo, CA 93401-3600
Phone
(805) 270-5830
NPI assigned
Dec 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X APCC16695 CA Primary

Addresses

Primary practice location

1011 Pacific St
San Luis Obispo, CA 93401-3600

Mailing address

2605 La Gracia Cir Unit 207
Atascadero, CA 93422-1926
Phone (805) 863-7084

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APCC16695CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexann Calabash Masiko-Meyer Summer Sessions Counseling Addiction (Substance Use Disorder) CurrentSince Jun 9, 2024 Accepting new patients

Locations

1011 Pacific St
San Luis Obispo, CA 93401
Phone (805) 270-5830

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": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1073150793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 LA GRACIA CIR UNIT 207",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221926",
            "telephone_number": "805-863-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013600",
            "telephone_number": "805-270-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-JENSEN",
        "first_name": "SAXEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "APCC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-01",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.