Audrey A Jensen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61132731 Issued in WA

Practice address

2567 13TH Ave W Apt 2
Seattle, WA 98119-2118

Phone

(810) 569-5776

NPI assigned

Aug 17, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Life Counseling Center, PLLC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1649630997
  NPD (past)

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1407336506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 13TH AVE W APT 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192118",
            "telephone_number": "810-569-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 13TH AVE W APT 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192118",
            "telephone_number": "810-569-5776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "27292",
            "country_code": "US",
            "telephone_number": "336-242-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Healy Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031568",
            "country_code": "US",
            "telephone_number": "336-793-7005",
            "fax_number": "336-923-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "AUDREY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61132731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407336506",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Gardon, Licsw, Inc.
• Jenny Hayse Therapy PLLC
• Jensa Ferguson, LMHC, Inc. (Evolve Counseling Collective)
• Ryan Joseph Jense, M.D.
• Alyssa Jensen
• Blythe Anne Jensen, MSW
• Bonnie Jensen, CRNA
• Brandon Louis Jensen, FNP-C
• Brenna Lynn Jensen, PA-C
• Callie M. Jensen

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.