MYRA JENSEN


Address: 1650 Highway 18 South, Sparta, NC 28675-8478
Phone: 3363724095

MYRA JENSEN (NPI# 1013252485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013252485
Entity Type Individual
Full Name MYRA JENSEN
Practice Address 1650 Highway 18 South
Sparta
NC 28675-8478
Mailing Address 284 Executive Park Dr
Suite 100
Concord
NC 28025-1894
Practice Telephone 3363724095
Mailing Telephone 7049391100
Mailing Fax Number 7049391173
Enumeration Date 2012-12-11
Last Update Date 2012-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1650 HIGHWAY 18 SOUTH
City SPARTA
State NC
Zip Code 28675-8478

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336114347 Princa E Cox Counselor 1650 Highway 18 South, Sparta, NC 28675-8478 2006-02-22
1154678340 Meghann Roberts Counselor 1650 Highway 18 South, Sparta, NC 28675 2012-08-07
1295789162 Stephen L Mcneil Psychiatry & Neurology 1650 Highway 18 South, Sparta, NC 28675-8478 2006-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962966002 Kimberly Loepp Social Worker Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 2019-01-23
1083980593 Healthstat Inc Nurse Practitioner 1889 Hwy 21 S., Sparta, NC 28675 2012-03-29
1912271099 Mary Margaret Joines Social Worker Blue Ridge Business Development Center, 115 Atwood Street, Office #415, Sparta, NC 28675 2012-03-07
1750668307 Daymark Recovery Services Inc Community/Behavioral Health 102 Health Service Road, Sparta, NC 28675 2011-11-10
1326348665 Families First Home Health 103 West Cheek Street, Sparta, NC 28675 2010-11-02
1598992620 Laura Ashley Flowers Dentist 507 North Main Street, Sparta, NC 28675 2009-06-16
1376739003 Alleghany County Department of Social Services Case Management 182 Doctors St, Sparta, NC 28675 2007-09-17
1538366323 G Terry Johnson Dentist 146 Doctors St., Sparta, NC 28675 2007-06-27
1831318641 Robert Duane Klingensmith Chiropractor 771 S Main St, Sparta, NC 28675 2007-04-24
1851448310 Jennie Lynn Smith Occupational Therapist 295 N. Main St., Sparta, NC 28675 2007-01-05
Find all providers in zip 28675

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285248633 Shaquenna Baker Counselor 113 Chipper Ln, Sparta, GA 31087-2215 2020-09-03
1053881649 Lisa Arline Frisbie Counselor 25 Main Street Rear Suite, Sparta, NJ 07871 2018-11-27
1558712075 Melissa Pirnos Counselor 200 Woodport Road Unit B, Sparta, NJ 07871 2016-06-27
1811236946 Melanie M Iacobino Counselor 350 Sparta Ave Ste C-2a, Sparta, NJ 07871-1120 2013-02-09
1851641989 Morgen Keith Counselor 102 Health Service Rd, Sparta, NC 28675-4095 2012-09-17
1619586138 Tara Cook Counselor 410 N Spring St, Sparta, TN 38583-1324 2020-07-30
1316571904 Ingrid C Green Counselor 25 Main St, Sparta, NJ 07871-1937 2020-02-24
1710401468 Judy Ann Krause Counselor 14301 County Highway B, Sparta, WI 54656-4859 2017-08-02
1316476187 Scott Maclean Counselor 11 Shawnee Trl, Sparta, NJ 07871-1515 2017-06-06
1346603446 Samantha Reilly Counselor 376 Lafayette Rd, Suite 200, Sparta, NJ 07871-3560 2016-04-05
Find all providers in SPARTA

Competitor

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City SPARTA
Zip Code 28675

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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