Individual provider Active NPI

Heidi Kay Jensen, PH.D.

  • Clinical Psychologist
  • Grand Forks, ND
National Provider Identifier
1851487276
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
326 Issued in ND
Practice address
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone
(701) 746-6336
Fax
(701) 772-1030
NPI assigned
Oct 4, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 326 ND Primary

Addresses

Primary practice location

4700 S Washington St Ste G
Grand Forks, ND 58201-8155

Mailing address

4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone (701) 746-6336

Other identifiers 1

IdentifierTypeStateIssuer
1454859MedicaidND

Other names 1

  • Heidi Kay Marhula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20040907000327 ND Practitioner - Clinical Psychologist 8628044187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agassiz Associates, PLLCGroup PAC ID 9335116417, 9 clinicians

Practice addresses (Care Compare)

2424 32ND Ave S
Suite 202
Grand Forks, ND 58201-6510

4700 S Washington St
Suite G
Grand Forks, ND 58201-8155
Phone (701) 746-6336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Agassiz Associates, PLLC Clinical CurrentSince Aug 27, 2004 Accepting new patients
Family Institute, PC Clinical PastSince Nov 30, 2017 Accepting new patients
Center for Psychiatric Care PastSince Aug 28, 2000 Accepting new patients
Peterson Medical Clinics, LLC PastSince Sep 1, 2017 Accepting new patients

Locations

2424 32nd Ave S
Ste 202
Grand Forks, ND 58201
Phone (701) 746-6336

4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 732-2506

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1851487276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-746-6336",
            "fax_number": "701-772-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-746-6336",
            "fax_number": "701-772-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "HEIDI",
        "middle_name": "KAY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454859",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "MARHULA",
            "middle_name": "KAY",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.