Marissa M Jensen, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC05207 Issued in MN

Practice address

2835 W Saint Germain St Ste 550
Saint Cloud, MN 56301-6389

Phone

(888) 881-8261

Fax

(320) 031-6208

NPI assigned

Oct 3, 2025

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

Other names 1

• Marissa M Maiers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lutheran Social Service of Minnesota

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
  • NPI 1629192430
  NPD

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1821962663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST STE 550",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016389",
            "telephone_number": "888-881-8261",
            "fax_number": "320-031-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W SAINT GERMAIN ST STE 550",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016389",
            "telephone_number": "888-881-8261",
            "fax_number": "320-031-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARISSA",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC05207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "MAIERS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli Jo Jensch, RD, LD
• Jaime Lynne Jensen
• Joyce C Jensen, CRNA
• Kayla Marie Jensen, MSN, RN, PHN
• Lisa R Jensen, LICSW
• Samantha Jensen, OTR/L
• Tanya Ann Jensen
• Alexandra Jae Jenson, PHARM. D
• Joseph John Jerkovich, BC-HIS
• Logan Jesperson

• Mental Health Counselor in Saint Cloud, MN
• Providers in Saint Cloud, 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 Oct 24, 2025; 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.