Organization Active NPI

Chassi Jensen LLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1568029635
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHASSI JENSEN LLC
Practice address
202 E Washington St Ste 401
Ann Arbor, MI 48104-2017
Phone
(734) 219-3851
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Chasity Jensen, LMSWNPI 1922564681
Title
Clinical Social Worker
Phone
(309) 635-8476

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

202 E Washington St Ste 401
Ann Arbor, MI 48104-2017

Mailing address

4265 Cloverlane Drive
Ypsilanti, MI 48197-1633
Phone (309) 635-8476

Other practice location 1

4265 Cloverlane Drive
Ypsilanti, MI 48197-1633
Phone (309) 635-8476

Other practice location 2

2601 Jackson Ave # 1044
Ann Arbor, MI 48103-3820
Phone (734) 219-3851

National Provider Directory

National Provider Directory

Locations

2601 Jackson Ave
#1044
Ann Arbor, MI 48103
Phone (734) 219-3851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1568029635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 CLOVERLANE DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971633",
            "telephone_number": "309-635-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST STE 401",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-219-3851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4265 Cloverlane Drive",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971633",
            "country_code": "US",
            "telephone_number": "309-635-8476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Jackson Ave # 1044",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033820",
            "country_code": "US",
            "telephone_number": "734-219-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHASSI JENSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "309-635-8476",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.