Montana B Jensen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2025044483 Issued in MO

Practice address

504 Villar St
Fredericktown, MO 63645-1042

Phone

(573) 910-4311

NPI assigned

Dec 6, 2022

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20393/brand/1/csg/1/fhir/r4
• Direct secure messaging: montana.jensen.1@20393.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonne Terre Healthcare Clinic LLC

  • Family Nurse Practitioner
  • Bonne Terre, MO
  • NPI 1962043802
  Medicare reassignment NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1790496271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S DIVISION ST STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281701",
            "telephone_number": "573-723-1100",
            "fax_number": "573-723-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VILLAR ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451042",
            "telephone_number": "573-910-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MONTANA",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2025044483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hear Mart Acquisitions, LLC (Ear to Hear Healthcare)
• Denise Marie Hillis, COTA
• Home Care Isl, LLC
• Angela Jackson, SCHOOL PSYCHOLOGIST
• Konnor Mariah Jenkins, PHARM.D.
• Amanda Jo Johnson, MPT
• Melissa Jordan, FNP
• Joshua Kemp
• Richard Kennedy
• Kevin G. Roberts D.C., P.C.

• Social Worker in Fredericktown, MO
• Providers in Fredericktown, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.

Verify at the official NPI Registry.