Active NPI
Lisa Helen Jensen, MFCC
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1265556807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT25593
- Practice address
- 303 Potrero St
#56
Santa Cruz, CA 95060-2741 - Phone
- (831) 427-0575
- Fax
- (831) 454-9313
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT25593 | CA | Primary |
Addresses
Primary practice location
303 Potrero St
#56
Santa Cruz, CA 95060-2741
Mailing address
303 Potrero St
#56
Santa Cruz, CA 95060-2741
Phone (831) 427-0575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25593 | CA | MD | Cognitive & Behavioral Psychologist |
| MFT25593 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265556807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 POTRERO ST",
"address_2": "#56",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602741",
"telephone_number": "831-427-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 POTRERO ST",
"address_2": "#56",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602741",
"telephone_number": "831-427-0575",
"fax_number": "831-454-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "LISA",
"middle_name": "HELEN",
"name_prefix": "Ms.",
"credential": "MFCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT25593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.