Individual provider Active NPI

Jensen Striegel

  • School Psychologist
  • Sellersburg, IN
National Provider Identifier
1427896158
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10320658 Issued in IN
Practice address
601 Renz Ave
Sellersburg, IN 47172-1331
Phone
(812) 246-3375
NPI assigned
Jul 17, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10320658 IN Primary

Addresses

Primary practice location

601 Renz Ave
Sellersburg, IN 47172-1331

Mailing address

4100 Versailles CT
Floyds Knobs, IN 47119-9765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10320658INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Community Schools CurrentSince Jul 21, 2024 Accepting new patients
West Clark Community Schools PastSince Jul 21, 2024 Accepting new patients

Locations

601 Renz Ave
Sellersburg, IN 47172
Phone (812) 246-3375

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1427896158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 VERSAILLES CT",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RENZ AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721331",
            "telephone_number": "812-246-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEGEL",
        "first_name": "JENSEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10320658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.