Individual provider Active NPI

Jessica Jensen, LMHC

  • Mental Health Counselor
  • Bluffton, SC
National Provider Identifier
1285014761
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6 Marianna Way Unit 102
Bluffton, SC 29910-9080
Phone
(774) 608-6829
Fax
(508) 619-3384
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6 Marianna Way Unit 102
Bluffton, SC 29910-9080

Mailing address

6 Marianna Way Unit 102
Bluffton, SC 29910-9080
Phone (774) 608-6829

Other practice location 1

131 Samoset St Ste 1014
Plymouth, MA 02360-4801
Phone (774) 608-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240909004034 SC Practitioner - Mental Health Counselor 4183164882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Marianna Way
Unit 102
Bluffton, SC 29910-9080
Phone (774) 608-6829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8567SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Holistic Wellness Counseling, LLC CurrentSince May 6, 2024 Accepting new patients
Gosnold, Inc. PastSince Dec 28, 1999 Accepting new patients

Locations

340 Court St
Ste 24
Plymouth, MA 02360

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1285014761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MARIANNA WAY UNIT 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109080",
            "telephone_number": "774-608-6829",
            "fax_number": "508-219-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARIANNA WAY UNIT 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109080",
            "telephone_number": "774-608-6829",
            "fax_number": "508-619-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Samoset St Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604801",
            "country_code": "US",
            "telephone_number": "774-608-6829",
            "fax_number": "508-619-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.