Jensen Health Enterprises

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

20120005055 Issued in MO

Legal business name

JENSEN HEALTH ENTERPRISES

Practice address

116B Holloway Rd
Ballwin, MO 63011-3215

Phone

(636) 386-3333

Fax

(636) 527-2570

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Noel C Jensen, L.AC.

Title

Managing Member

Phone

(636) 386-3333

Specialties & licenses 2

Addresses

Other names 1

• Nutrition Clinic Doing business as

Locations

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1215289459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116B HOLLOWAY RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113215",
            "telephone_number": "636-386-3333",
            "fax_number": "636-527-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116B HOLLOWAY RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113215",
            "telephone_number": "636-386-3333",
            "fax_number": "636-527-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN HEALTH ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-386-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "20120005055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viktoriya V. Ivantsova, PMHNP-BC
• Margaret Kathleen Jackson, M.S., CCCSLP
• Jaks Counseling Services
• James H Stanford DDS PC
• Adam David James
• Anna Lisa Jensen, LPC, NCC
• Kacy Layne Jetton, PHARM D
• Lisa Jeziorski
• Jill Baechle Counseling Services
• John Rapp, LCSW, LLC

• Acupuncturist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Acupuncturist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.