Individual provider Active NPI

Jennifer Ashley Sorensen, LCMHC

  • Mental Health Counselor
  • Alpine, UT
National Provider Identifier
1508338781
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9294602-6004 Issued in UT
Practice address
45 W Main Street CT Ste 255
Alpine, UT 84004-5705
Phone
(385) 265-2577
NPI assigned
Dec 28, 2018
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9294602-6004 UT Primary

Addresses

Primary practice location

45 W Main Street CT Ste 255
Alpine, UT 84004-5705

Mailing address

45 W Main Street CT Ste 255
Alpine, UT 84004-5705
Phone (385) 216-2738

Other names 1

  • Jennifer Ashley Sorensen Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9294602-6004UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1508338781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W MAIN STREET CT STE 255",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840045705",
            "telephone_number": "385-216-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W MAIN STREET CT STE 255",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840045705",
            "telephone_number": "385-265-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9294602-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SORENSEN",
            "middle_name": "ASHLEY",
            "credential": "LCMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpine, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.