Individual provider Active NPI

Krysta Jensen

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1255982872
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02025 Issued in RI
Practice address
25 Cohasset LN
Cranston, RI 02921-1364
Phone
(207) 616-1127
Fax
(401) 414-0706
NPI assigned
Sep 25, 2019
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02025 RI Primary

Addresses

Primary practice location

25 Cohasset LN
Cranston, RI 02921-1364

Mailing address

25 Cohasset LN
Cranston, RI 02921-1364
Phone (401) 787-0217

Other practice location 1

129 Red Bridge Rd
Skowhegan, ME 04976-4615
Phone (207) 616-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002076 ME Practitioner - Clinical Social Worker 2668901380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Minds Counseling IncGroup PAC ID 0840729562, 18 clinicians

Practice addresses (Care Compare)

222 Auburn St
Suite 103
Portland, ME 04103-6005
Phone (207) 616-1127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02025RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Counseling, Inc. Clinical CurrentSince Dec 14, 2024 Accepting new patients
Social Sparks Inc Clinical CurrentSince Dec 14, 2022 Accepting new patients
Healthy Wellness Inc. PastSince Dec 14, 2025 Accepting new patients

Locations

222 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 373-8522

1992 Old Louisquisset Pike
Lincoln, RI 02865
Phone (401) 475-0653

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1255982872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COHASSET LN",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211364",
            "telephone_number": "401-787-0217",
            "fax_number": "401-414-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COHASSET LN",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211364",
            "telephone_number": "207-616-1127",
            "fax_number": "401-414-0706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Red Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049764615",
            "country_code": "US",
            "telephone_number": "207-616-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRYSTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.