Active NPI
Marilee Hawkins Jensen, LPC
- Professional Counselor
- Pleasant Grove, UT
National Provider Identifier
1831495639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6794367-6004
- Practice address
- 1384 W State Rd
Suite 24
Pleasant Grove, UT 84062-4130 - Phone
- (801) 373-6562
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6794367-6004 | UT | Primary |
Addresses
Primary practice location
1384 W State Rd
Suite 24
Pleasant Grove, UT 84062-4130
Mailing address
1864 N 400 W
Orem, UT 84057-2140
Phone (801) 376-6578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6794367-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1831495639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1864 N 400 W",
"city": "OREM",
"state": "UT",
"postal_code": "840572140",
"telephone_number": "801-376-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1384 W STATE RD",
"address_2": "SUITE 24",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840624130",
"telephone_number": "801-373-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MARILEE",
"middle_name": "HAWKINS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "6794367-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.