Active NPI
Brandon James Jensen, LMFT
- Marriage & Family Therapist
- Sartell, MN
National Provider Identifier
1740620558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2592
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Hill Family Services LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sartell, MN
- NPI 1861131716
-
- Marriage & Family Therapist
- Big Lake, MN
- NPI 1336367242
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.