Chelsea Jensen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117256 Issued in CA

Practice address

401 W Morrison Ave
Santa Maria, CA 93458

Phone

(805) 347-3338

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Good Samaritan Shelter

  • Community/Behavioral Health Agency
  • Santa Maria, CA
  • NPI 1689717258
  Medicare reassignment NPD
• Good Samaritan Shelter

  • Community/Behavioral Health Agency
  • Santa Maria, CA
  • NPI 1316430218
  NPD (past) Authorized official
• Good Samaritan

  • Substance Abuse Rehabilitation Facility
  • Lompoc, CA
  • NPI 1063839843
  NPD
• Good Samaritan Shelter, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lompoc, CA
  • NPI 1114176831
  NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1366828154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LOCUST ST UNIT 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014405",
            "telephone_number": "805-405-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MORRISON AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93458",
            "telephone_number": "805-347-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 S 7th Ave",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917463211",
            "country_code": "US",
            "telephone_number": "626-961-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CHELSEA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117256",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF94280",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "77-0133375",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Jenkins
• Sidney Lauren Jenks
• Jens F Birkholm D P M Inc
• Brent Jensen, DPT
• Brian Thomas Jensen, M.D.
• Jody Michelle Jensen, PA-C
• Julie Ann Jensen
• Gregory L Jerkins, M.D.
• Jesse Kim,DDS.Inc
• Janine Denise Jeter

• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.