Harris R. Jensen, MD, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HARRIS R. JENSEN, MD, LLC

Practice address

3500 John F Kennedy Pkwy
Suite 210
Fort Collins, CO 80525-2635

Phone

(970) 416-8354

Fax

(970) 416-0354

NPI assigned

Feb 10, 2016

Organization subpart

No

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

Authorized official

Name

Harris Robert Jensen, M.D.NPI 1417963943

Title

Owner

Phone

(970) 217-3370

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harris Robert Jensen, MD

  • Psychiatry Physician
  • Fort Collins, CO
  • NPI 1417963943
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1073971685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JOHN F KENNEDY PKWY",
            "address_2": "SUITE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252635",
            "telephone_number": "970-416-8354",
            "fax_number": "970-416-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 JOHN F KENNEDY PKWY",
            "address_2": "SUITE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252635",
            "telephone_number": "970-416-8354",
            "fax_number": "970-416-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS R. JENSEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-217-3370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Gaelle Harper
• Susan R Harr, RPH
• Cassandra K Harrington
• Heather M. Harrington, CMT
• Kathrin Eliza Harrington, M.D.
• Lindsay Harris Tholl
• Alexander Evan Harris, LCSW
• Brandon Michael Harris
• Colyn Harris, CMT
• Julie Harris

• Adult Mental Health Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.