Individual provider Active NPI

Brandon James Jensen, LMFT

  • Marriage & Family Therapist
  • Sartell, MN
National Provider Identifier
1740620558
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2592 Issued in MN
Practice address
303 4TH Ave S
Sartell, MN 56377-4728
Phone
(320) 282-8868
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2592 MN Primary

Addresses

Primary practice location

303 4TH Ave S
Sartell, MN 56377-4728

Mailing address

735 12TH St N
Sauk Rapids, MN 56379-2317
Phone (320) 282-8868

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250106002891 MN Practitioner - Marriage and Family Therapist 1759754310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Hill Family Services LLCGroup PAC ID 6305374208, 2 clinicians

Practice addresses (Care Compare)

303 4TH Ave S
Suite a
Sartell, MN 56377-2173
Phone (320) 406-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Hill Family Services LLC CurrentSince Nov 4, 2024 Accepting new patients
Family Prospective Resources, Inc Marriage & Family Therapist Past Accepting new patients

Locations

303 4th Ave S
Ste A
Sartell, MN 56377
Phone (320) 406-1516

303 4th Ave S
Sartell, MN 56377
Phone (320) 282-8868

Organizations & group practices 2

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1740620558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 12TH ST N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792317",
            "telephone_number": "320-282-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 4TH AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774728",
            "telephone_number": "320-282-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.