Organization Active NPI

Rebekah N. Jensen LCSW LLC

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1558082578
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBEKAH N. JENSEN LCSW LLC
Practice address
13751 Hill Crest CT
Carmel, IN 46032-9143
Phone
(317) 975-1040
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Rebekah Jensen, LCSWNPI 1679971253
Title
Owner
Phone
(317) 975-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13751 Hill Crest CT
Carmel, IN 46032-9143

Mailing address

13751 Hill Crest CT
Carmel, IN 46032-9143
Phone (317) 975-1040

Other identifiers 3

IdentifierTypeStateIssuer
1679971253OtherINDIVIDUAL NPI
34007622AOtherININDIANA LCSW STATE LICENSE
149.018916OtherILILLINOIS LCSW STATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1558082578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 HILL CREST CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329143",
            "telephone_number": "317-975-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 HILL CREST CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329143",
            "telephone_number": "317-975-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH N. JENSEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-975-1040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679971253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LCSW STATE LICENSE",
            "identifier": "34007622A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LCSW STATE LICENSE",
            "identifier": "149.018916",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.