Stephanie Jensen, MSW LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

24283 Issued in MN

Practice address

905 Jefferson Ave, Ste 210
St. Paul, MN 55102

Phone

(320) 318-0404

NPI assigned

Mar 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1750887600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1138 1801 E CAMELBACK RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "320-318-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JEFFERSON AVE, STE 210",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "320-318-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Dayton Ave Ste 327",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046495",
            "country_code": "US",
            "telephone_number": "320-318-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "461 105th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554484906",
            "country_code": "US",
            "telephone_number": "715-338-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Forestview Ln N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695571",
            "country_code": "US",
            "telephone_number": "320-318-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEPHANIE",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "20161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24283",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "24283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kjersti Jensen
• Paul Jensen
• Rachel Jensen, L.AC., DIPL. AC.
• Robert L Jensen, DDS MSD
• Stefanie Kaitlyn Jensen, RD, LD
• Emma M Jenson
• Bryan Matthew Jepson, M.D.
• Dixie Ann Jepson, D.C.
• Brittany Morgan Jerez, DNP, APRN, CNM
• Erin E Jergenson, MA, LMFT

• Mental Health Counselor in St. Paul, MN
• Providers in St. Paul, 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 Mar 13, 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.

Verify at the official NPI Registry.