Individual provider Active NPI

Katherine Leigh Jensen, CPC-INTERN

  • Mental Health Counselor
  • Carson City, NV
National Provider Identifier
1336886498
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI5132 Issued in NV
Practice address
755 N Roop St Ste 101
Carson City, NV 89701-3107
Phone
(775) 841-6050
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 CI5132 NV Primary

Addresses

Primary practice location

755 N Roop St Ste 101
Carson City, NV 89701-3107

Mailing address

755 N Roop St Ste 101
Carson City, NV 89701-3107
Phone (775) 393-0544

Other identifiers 1

IdentifierTypeStateIssuer
CI5132OtherNVCLINICAL PROFESSIONAL COUNSELOR INTERN LICENSE

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

LicenseStateTypeSpecialty
CI5132NVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1336886498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013107",
            "telephone_number": "775-393-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013107",
            "telephone_number": "775-841-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATHERINE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PROFESSIONAL COUNSELOR INTERN LICENSE",
            "identifier": "CI5132",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.