Active NPI
Jenise Jensen, PHD
- Clinical Neuropsychologist
- Salt Lake City, UT
National Provider Identifier
1366534943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6274715-2501
- Practice address
- 275 E South Temple Ste 345
Salt Lake City, UT 84111-1246 - Phone
- (801) 355-0195
- Fax
- (801) 355-0199
- NPI assigned
- Sep 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6274715-2501 | UT | |
| Clinical Neuropsychologist | 103G00000X | 6274715-2501 | UT | Primary |
Addresses
Primary practice location
275 E South Temple Ste 345
Salt Lake City, UT 84111-1246
Mailing address
275 E South Temple Ste 345
Salt Lake City, UT 84111-1246
Phone (801) 355-0195
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6274715-2501 | UT | MD | Clinical Neuropsychologist |
| AP30005088 | WA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1366534943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE STE 345",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111246",
"telephone_number": "801-355-0195",
"fax_number": "801-355-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE STE 345",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111246",
"telephone_number": "801-355-0195",
"fax_number": "801-355-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JENISE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "UT",
"license": "6274715-2501",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "UT",
"license": "6274715-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.