Active NPI
Ann Marie W Jensen, LPC, LISAC
- Counselor
- Mesa, AZ
National Provider Identifier
1275973117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1896
- Practice address
- 3063 E Hackamore St
Mesa, AZ 85213-5562 - Phone
- (480) 962-8249
- NPI assigned
- Jun 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1896 | AZ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1096 | AZ |
Addresses
Primary practice location
3063 E Hackamore St
Mesa, AZ 85213-5562
Mailing address
3063 E Hackamore St
Mesa, AZ 85213-5562
Phone (480) 962-8249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | AZ | MD | Chiropractor |
| 1896 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1275973117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 E HACKAMORE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852135562",
"telephone_number": "480-962-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3063 E HACKAMORE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852135562",
"telephone_number": "480-962-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ANN MARIE",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "LPC, LISAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "1896",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "1096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.