Jacquelyn Beth Jensen, MSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

41 W Encanto Blvd Apt 4
Phoenix, AZ 85003-1132

Phone

(602) 573-1661

NPI assigned

Nov 17, 2014

Last updated

Sep 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jacquelyn.jensen.p1@direct.cpi.nextgenshare.com

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.

• Jacquie Jensen, MSW, Lisac

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1851709513
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1205232352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W ENCANTO BLVD APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031132",
            "telephone_number": "602-573-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W ENCANTO BLVD APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031132",
            "telephone_number": "602-573-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 N. 51st Place #2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85008",
            "country_code": "US",
            "telephone_number": "480-221-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JACQUELYN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jensen, DNP
• Deann M Jensen, LMSW
• Drew J Jensen, DDS
• Elliot Jensen, DO
• Hannah Jensen
• Jason Warner Jensen, N.M.D.
• Jenna Jensen
• Jordan Riley Jensen, PA-C
• Kate Nicole Jensen, MD
• Kristen Ann Jensen, PA-C

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.