Active NPI
Michele Hyzdu Jensen, PCC-A
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1306145453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0007943
- Practice address
- 1130 Congress Ave
Cincinnati, OH 45246-4484 - Phone
- (513) 858-2000
- NPI assigned
- Mar 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0007943 | OH | Primary |
| School Counselor | 101YS0200X | OH1-23-7953 | OH | |
| Social Worker | 104100000X | S0016155 | OH |
Addresses
Primary practice location
1130 Congress Ave
Cincinnati, OH 45246-4484
Mailing address
1130 Congress Ave
Cincinnati, OH 45246-4484
Phone (513) 858-2000
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 |
|---|---|---|---|
| E0007943 | OH | MD | Professional Counselor |
| S0016155 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1306145453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 CONGRESS AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464484",
"telephone_number": "513-858-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CONGRESS AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452464484",
"telephone_number": "513-858-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MICHELE",
"middle_name": "HYZDU",
"credential": "PCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0007943",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": "OH1-23-7953",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0016155",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.