Jennifer Mae Jensen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7350 Issued in MN

Practice address

6776 Lake Dr
220
Lino Lakes, MN 55014-1191

Phone

(651) 784-7007

Fax

(651) 784-7992

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Advance Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1215144654
  Medicare reassignment Authorized official
• Advance Therapy

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1043644784
  NPD Authorized official
• Advance Occupational Therapy, LLC

  • Occupational Therapist
  • Lino Lakes, MN
  • NPI 1174730899
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386613412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141191",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141191",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 County Road E E",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551104906",
            "country_code": "US",
            "telephone_number": "651-683-2953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNIFER",
        "middle_name": "MAE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Holmquist
• Carlee Cheyenne Huesman, RN-BSN, DNP, FNP-C
• Emily Jane Iniguez, OTR/L
• Kaelyn Layell Isaacson
• Aaron B Jennissen, PHARMD
• Carol Elaine Jillian-Ohana, DC
• Alicia Clarice Johnson
• Craig Dennis Johnson, P.T
• Sarah Elizabeth Johnson, OTR/L
• Kellie Kershisnik, MD

• Speech-Language Pathologist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.