Laurie Anne Jensen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19054 Issued in CA

Practice address

2596 N Stokesberry PL Ste 125
Meridian, ID 83646-6432

Phone

(208) 448-9575

Fax

(208) 898-8838

NPI assigned

May 23, 2007

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225248370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 LAKE EARL DR",
            "address_2": "PO BOX 7000",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955320001",
            "telephone_number": "707-465-1000",
            "fax_number": "707-465-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 N STOKESBERRY PL STE 125",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466432",
            "telephone_number": "208-448-9575",
            "fax_number": "208-898-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Jensen, LMSW
• Hallie Nicole Jensen
• Janae Michelle Jensen, FNP
• Jared Lee Jensen
• Kade Martin Jensen, LCSW
• Madison Jensen, LPC
• Nikkala Rene Jensen
• Patricia Jensen, LPN
• Rikki Victoria Clemens Jensen, MA, LPC
• William J Jensen, PA-C

• Clinical Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.