Active NPI
Seth Donald Jensen
- Behavior Technician
- Saginaw, MI
National Provider Identifier
1710752365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 203 S Washington Ave Ste 30
Saginaw, MI 48607-1217 - Phone
- (989) 209-3245
- Fax
- (989) 209-3246
- NPI assigned
- Nov 22, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
203 S Washington Ave Ste 30
Saginaw, MI 48607-1217
Mailing address
3599 E Southgate Dr
Midland, MI 48640-8507
Phone (989) 209-3245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Services | Current | Accepting new patients |
Locations
203 S Washington Ave
Ste 30
Saginaw, MI 48607
Phone (989) 209-3245
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1710752365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 E SOUTHGATE DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486408507",
"telephone_number": "989-209-3245",
"fax_number": "989-209-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WASHINGTON AVE STE 30",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071217",
"telephone_number": "989-209-3245",
"fax_number": "989-209-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "SETH",
"middle_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.