Kathryn Anne Jensen, MS, LCPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.008599 Issued in IL

Practice address

1031 E 7TH 1/2 St
Houston, TX 77009-7128

Phone

(319) 350-8487

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Vitality Women'S Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Elmhurst, IL
  • NPI 1225433121
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1417249244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E 7TH 1/2 ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097128",
            "telephone_number": "319-350-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E 7TH 1/2 ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097128",
            "telephone_number": "319-350-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 S Division St Unit B",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601263910",
            "country_code": "US",
            "telephone_number": "319-350-8487",
            "fax_number": "331-223-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30948",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.008599",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Tyler Jensen, M.D.
• Craig Jensen, MD
• Deann M Jensen, COTA
• Jack Edward Jensen, MD
• Jillene Brack Jensen
• Krystal Jensen, M.D.
• Leila Marie Jensen, PTA, LMT
• Lita Jensen
• Mirna H Jensen, FNP-C
• Stephanie Jensen

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.