Active NPI
Plonnie Xantippe Jenson
- Counselor
- Provo, UT
National Provider Identifier
1447561865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 633 S 550 E
Suite 220
Provo, UT 84606-5556 - Phone
- (801) 687-1357
- NPI assigned
- Jun 30, 2010
- Last updated
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
633 S 550 E
Suite 220
Provo, UT 84606-5556
Mailing address
633 S 550 E
Suite 220
Provo, UT 84606-5556
Phone (801) 687-1357
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adolescent Center for Talent Development | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Provo, UT
- NPI 1821309238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1447561865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 S 550 E",
"address_2": "SUITE 220",
"city": "PROVO",
"state": "UT",
"postal_code": "846065556",
"telephone_number": "801-687-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 S 550 E",
"address_2": "SUITE 220",
"city": "PROVO",
"state": "UT",
"postal_code": "846065556",
"telephone_number": "801-687-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSON",
"first_name": "PLONNIE",
"middle_name": "XANTIPPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.