Individual provider Active NPI

Kama Bree Jensen, M.ED, LPCC

  • Professional Counselor
  • West Fargo, ND
National Provider Identifier
1982927851
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
51261504193 Issued in ND
Practice address
3239 Oak Ridge Loop E
West Fargo, ND 58078-8482
Phone
(701) 478-7199
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X
Professional Counselor 101YP2500X 51261504193 ND Primary

Addresses

Primary practice location

3239 Oak Ridge Loop E
West Fargo, ND 58078-8482

Mailing address

3239 Oak Ridge Loop E
West Fargo, ND 58078-8482
Phone (701) 478-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
51261504193NDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Living Counseling PLLC CurrentSince Jan 10, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1982927851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 OAK RIDGE LOOP E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788482",
            "telephone_number": "701-478-7199",
            "fax_number": "701-478-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 OAK RIDGE LOOP E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788482",
            "telephone_number": "701-478-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KAMA",
        "middle_name": "BREE",
        "name_prefix": "Ms.",
        "credential": "M.ED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "51261504193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.