Linda Michelle Jensen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12453A Issued in NC

Practice address

1935 J N Pease PL Ste 204
Charlotte, NC 28262-4542

Phone

(980) 272-8180

NPI assigned

Aug 9, 2017

Sex

Female

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

• Mickey Jensen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelly Saylor Counseling & Consulting Services, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1700566361
  NPD

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1699290791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 TIGERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691447",
            "telephone_number": "720-425-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 J N PEASE PL STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624542",
            "telephone_number": "980-272-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKEY",
            "last_name": "JENSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tyleshia Danielle Jennings, LMSW, LCSW-A
• Jenny Gandhi
• Jenny Tran Enterprises, Inc
• Chandler Jensen
• Joshua S Jensen, LMFTA
• Tara Norbut Jensen, OTR/L
• Chelsea Lee Jentsch, DPT
• Brian Leroy Jerby, M.D.
• Vanessa Jereda
• Ana Paula P Jeri

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.