Kimberly Jensen

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15778-131 Issued in WI

Practice address

320 21St St N
Menomonie, WI 54751-2228

Phone

(715) 235-4537

Fax

(715) 235-4535

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1679973150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 21ST ST N",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512228",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 21ST ST N",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512228",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15778-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Jacobsen, MS,CCC-SLP
• Tiffany Lynn Jaeger, MFT, PA-C
• Kelly F. Jarvis-Ziehl, C.R.N.A.
• Elizabeth Kay Jasper, MS LPC
• Patricia Jo Jennings, CRNA
• Christopher Craig Johnson, M.D.
• Daniel Leroy Johnson, M.D.
• Erin K Johnson, LPC-IT
• Gary Johnson, MSW
• Kayla Jane Johnson, LMT

• All providers in Menomonie, WI
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.