Marla Jean Jensen, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS7102 Issued in CA

Practice address

195 Agnes St
Auburn, CA 95603-4710

Phone

(530) 823-7701

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Auburn Child and Family Counseling

  • Clinical Social Worker
  • Auburn, CA
  • NPI 1497981864
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073685384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 AGNES ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034710",
            "telephone_number": "530-823-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 AGNES ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034710",
            "telephone_number": "530-823-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARLA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Jenkins, CMT
• Jeffrey R Jenkins, M.D.
• Kaila Jenkins
• Jennifer Jensen, RN, PHN
• Leah Jensen
• Jesse Whitely DDS, Inc
• Patrick Jew, MS,PT
• Marcia Johanson, P.T.
• Jugraj Singh Johl, PHARM D
• Becca D. Johnson, OT

• Mental Health Counselor in Auburn, CA
• Providers in Auburn, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.