Trey Jensen, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6838 Issued in MN

Practice address

200 5TH St NW Ste B
Elk River, MN 55330-1917

Phone

(763) 600-7996

Fax

(763) 244-1243

NPI assigned

Nov 5, 2015

Last updated

Nov 22, 2023By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Circle Counseling LLCGroup PAC ID 9638552813, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Circle Counseling, LLC

  dba Serenity Circle Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Isanti, MN
  • NPI 1366766206

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1417320904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400023",
            "telephone_number": "763-600-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST NW STE B",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301917",
            "telephone_number": "763-600-7996",
            "fax_number": "763-244-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TREY",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Christine Januschka, OD
• Anton F Jarmoluk, D.D.S.
• Jeffrey Mark Jarmoluk, D.D.S.
• Kristin M Jarmoluk, D.D.S.
• Jennifer Keena
• Jacob R Jenssen, PT, DPT, ATC
• Alyssa Jerde
• Claire Ann John
• Alaina Lynn Johnson
• Brooke Lauren Johnson, RDN

• Psychologist in Elk River, MN
• Providers in Elk River, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.