Amber Rae Jensen, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01499 Issued in MN

Practice address

7525 Mitchell Rd Ste 100
Eden Prairie, MN 55344-1900

Phone

(925) 224-2282

Fax

(925) 224-2284

NPI assigned

Feb 2, 2017

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Family Innovations, Inc.

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783

  Professional

  Medicare reassignment NPD
• West Central Counseling LLC

  • Mental Health Counselor
  • Alexandria, MN
  • NPI 1649846650
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1700324480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441900",
            "telephone_number": "925-224-2282",
            "fax_number": "925-224-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441900",
            "telephone_number": "925-224-2282",
            "fax_number": "925-224-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy H Jan, DO
• Mariya Javed-Payne, LICSW, LADC
• Jeffrey Aaron Jednacz, MD
• Damilola Jegede
• Kirsten Jennissen, PA
• Margaux Lydia Jensen
• Hodan Hassan Jimale
• Jmi Recuperative Care LLC
• Bo Johannes, RN
• Amanda Lee Johnson Fleming, CPNP-PC

• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.