Individual provider Active NPI

Falicia J Jensen, LMFT

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1093307167
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
123860 Issued in CA
Practice address
5730 N 1St St Ste 105-503
Fresno, CA 93710-6200
Phone
(559) 223-6084
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 123860 CA Primary

Addresses

Primary practice location

5730 N 1St St Ste 105-503
Fresno, CA 93710-6200

Mailing address

2820 Amalfi
Chowchilla, CA 93610-9456
Phone (559) 223-6084

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
123860CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Education & Research Institute CurrentSince Feb 14, 2021 Accepting new patients

Locations

5730 N 1st St
Ste 105503
Fresno, CA 93710
Phone (559) 909-5527

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1093307167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 AMALFI",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936109456",
            "telephone_number": "559-223-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 N 1ST ST STE 105-503",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106200",
            "telephone_number": "559-223-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "FALICIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.