Lillian Elaine Jensen, MFTI, PCCI

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11587 Issued in CA

Practice address

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Phone

(805) 788-2794

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1902318264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 LONGBRANCH AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-788-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LILLIAN",
        "middle_name": "ELAINE",
        "credential": "MFTI, PCCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curby Dirk Jenkins, DO
• Melissa Jenkins
• Griffith Jennings
• Shannon Rive Jensen-Best, LMFT
• Allison Hope Jensen
• Jessica Carter Smith DDS PC
• Jessica Smith DDS, Inc.
• Sundarampillai Jeyanandarajan, M.D.
• Alexis Jimenez
• Eric Jimenez

• Professional Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.