Ernie Ray Jensen, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC 60627105 Issued in WA

Practice address

5000 NE 72ND Ave
Apt 30
Vancouver, WA 98661-8166

Phone

(360) 953-0915

NPI assigned

Dec 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• E. Ray Jensen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1629512843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 NE 14TH ST",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844308",
            "telephone_number": "360-953-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NE 72ND AVE",
            "address_2": "APT 30",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618166",
            "telephone_number": "360-953-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ERNIE",
        "middle_name": "RAY",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60627105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E.",
            "last_name": "JENSEN",
            "middle_name": "RAY",
            "credential": "LMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bradden Jensen, MD
• Brenda Lee Jensen, PTA
• Brett Terry Jensen, MD
• Dana Jensen, LMT
• Dana Andrew Jensen, D.M.D
• Heather Jensen, RN
• Kala Jensen, M.S., LPC, LMHC
• Kirsti Sonnenburg Jensen, LMP
• Makeda Jensen
• Michael Kenneth Jensen, DMD

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.