Active NPI
Rebecca Jensen, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1699218008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-14617
- Practice address
- 2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692 - Phone
- (480) 804-0326
- Fax
- (480) 804-0083
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-14617 | AZ | Primary |
Addresses
Primary practice location
2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Mailing address
1400 E Southern Ave
Suite 735
Tempe, AZ 85282-5691
Phone (480) 804-0326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226871 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1400 E Southern Ave
Suite 735
Tempe, AZ 85282-5699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-14617 | AZ | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1902472467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1699218008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE",
"address_2": "SUITE 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825691",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S MCCLINTOCK DR",
"address_2": "SUITE 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822692",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "REBECCA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2023-11-06",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-14617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226871",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.