Active NPI
Christopher Jensen
- Professional Counselor
- Boise, ID
National Provider Identifier
1679005953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-8745
- Practice address
- 545 N Benjamin LN Ste 185
Boise, ID 83704-9625 - Phone
- (785) 350-4923
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012587 | CO | |
| Professional Counselor | 101YP2500X | LCPC-8745 | ID | Primary |
Addresses
Primary practice location
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Mailing address
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0012587 | CO | MD | Professional Counselor |
| LCPC-8745 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1679005953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N BENJAMIN LN STE 185",
"city": "BOISE",
"state": "ID",
"postal_code": "837049625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N BENJAMIN LN STE 185",
"city": "BOISE",
"state": "ID",
"postal_code": "837049625",
"telephone_number": "785-350-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012587",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-8745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.