Jacy Jensen, TLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

080592 Issued in IA

Practice address

6900 University Ave
Ste 115
Windsor Heights, IA 50324-1512

Phone

(515) 254-1556

Fax

(515) 254-1559

NPI assigned

Mar 1, 2016

Last updated

Mar 1, 2016By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• Willow Tree Therapy, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
  • NPI 1114884384
  NPD Authorized official

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1295195436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE",
            "address_2": "STE 115",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241512",
            "telephone_number": "515-254-1556",
            "fax_number": "515-254-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE",
            "address_2": "STE 115",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241512",
            "telephone_number": "515-254-1556",
            "fax_number": "515-254-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JACY",
        "credential": "TLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "080592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc (Hy-Vee Pharmacy (1895))
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• Intuitive Heart Counseling Services, LLC
• J & M Lice Solutions, LLC (Lice Clinics of America)
• Kevin R Jasa, HEARING SPECIALIST
• John J Rockas PLLC (Rockas Chiropractic)
• Kasperbauer Chiropractic
• Roger Joseph Kasperbauer, DC
• Andrea Lauren Klein, ARNP, CPNP
• Mary Susan Knapp, MSW, LISW, L.L.C.

• Marriage & Family Therapist in Windsor Heights, IA
• Providers in Windsor Heights, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.