Individual provider Active NPI

Jennifer Marie Jensen

  • Behavior Analyst
  • Darien, IL
National Provider Identifier
1821589391
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35566 Issued in IL
Practice address
8201 Cass Ave
Darien, IL 60561-5314
Phone
(630) 590-5571
NPI assigned
May 21, 2018
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-35566 IL Primary

Addresses

Primary practice location

8201 Cass Ave
Darien, IL 60561-5314

Mailing address

240 Stone Manor Cir
Batavia, IL 60510-2986
Phone (630) 202-7058

Other practice location 1

8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524
Phone (773) 726-1416

Other practice location 2

240 Stone Manor Cir
Batavia, IL 60510-2986
Phone (630) 202-7058

Other names 1

  • Jennifer Marie Jensen Former name

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1821589391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 STONE MANOR CIR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102986",
            "telephone_number": "630-202-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615314",
            "telephone_number": "630-590-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8609 W Bryn Mawr Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313524",
            "country_code": "US",
            "telephone_number": "773-726-1416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Stone Manor Cir",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605102986",
            "country_code": "US",
            "telephone_number": "630-202-7058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-19-35566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JENSEN",
            "middle_name": "MARIE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.