Tyler James Jensen, MS, LCMHC, LMHC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A15036 Issued in NC

Practice address

612 N 1St Ave
Knightdale, NC 27545-8506

Phone

(515) 779-7169

NPI assigned

Jul 29, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tyler J Jensen Psychotherapy LLC

  • Mental Health Counselor
  • Iowa City, IA
  • NPI 1700518099
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1679127633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WILLS GROVE LN APT 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158078",
            "telephone_number": "515-779-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 1ST AVE",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458506",
            "telephone_number": "515-779-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "958 1/2 Ball St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522451507",
            "country_code": "US",
            "telephone_number": "515-779-7169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "MS, LCMHC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A15036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Touch, LLC
• Integrated Journey
• Istay Homecare Services
• Veronica Jackson Medley, LPA
• Kenneth E Jarmon Sr., DR
• Marquita Renee Johnson Manneh, MSW, LCSW
• Jeffrey Lynn Johnson, PSYD
• Nyla Johnson
• Raeanne Tatem Johnson, RN,MSN,CPNP-PC
• Stephen E. Johnson, M.D.

• Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.