Active NPI
Kelly Marie Jensen, PSY.D.
- Clinical Psychologist
- Naperville, IL
National Provider Identifier
1720909666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 890
- Practice address
- 1220 Iroquois Ave
Naperville, IL 60563-8542 - Phone
- (630) 728-1382
- NPI assigned
- Jul 24, 2026
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 890 | NE | Primary |
Addresses
Primary practice location
1220 Iroquois Ave
Naperville, IL 60563-8542
Mailing address
2916 Shannon LN
New Lenox, IL 60451-3423
Phone (630) 728-1382
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1720909666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 SHANNON LN",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513423",
"telephone_number": "630-728-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 IROQUOIS AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638542",
"telephone_number": "630-728-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.