MS. SALLY J. JENSEN (NPI# 1184953572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184953572 |
| Entity Type | Individual |
| Full Name | MS. SALLY J. JENSEN |
| Credential | TMFT |
| Practice Address |
5815 Broadway Ave Great Bend KS 67530-3123 |
| Practice Telephone | 6207922544 |
| Practice Fax Number | 6207927052 |
| Mailing Telephone | 6207922544 |
| Mailing Fax Number | 6207927052 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1113 | KS | Ambulatory Health Care Facilities |
| Street Address |
5815 BROADWAY AVE |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445215 | Alice Joyce Griffitt | Nurse Practitioner | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2005-05-24 |
| 1366068173 | Joelle Prescott | Nurse Practitioner | 5815 Broadway Ave, Great Bend, KS 67530-3197 | 2020-06-18 |
| 1568004836 | Luann Daum | Social Worker | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2019-10-08 |
| 1629620406 | Brenda Kay Dinges | Family Medicine | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2019-07-12 |
| 1841765260 | Quenla Scarlet Mcgilber | Counselor | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2018-10-12 |
| 1184130833 | Tracie Haselhorst | Social Worker | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2017-12-18 |
| 1881110732 | Susan Kay Manes | Counselor | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2017-08-22 |
| 1982120697 | Lindsay Kay Peters | Counselor | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2017-08-15 |
| 1447702113 | Shanna Long | Social Worker | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2016-10-28 |
| 1750837480 | Terry Dyann Twitchell | Counselor | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131468 | Tess Bennett LLC | Clinic/Center | 1819 11th St, Great Bend, KS 67530-4511 | 2019-08-27 |
| 1215004122 | The Center for Counseling | Clinic/Center | 5815 Broadway, Great Bend, KS 67530 | 2006-11-29 |
| 1104862549 | Center for Counseling and Consultation | Clinic/Center | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2006-06-22 |
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| 1255941811 | Revival Counseling & Recovery | Clinic/Center | 205 S 4th St Ste C6, Manhattan, KS 66502-6168 | 2020-08-07 |
| 1942826003 | Courage Counseling LLC | Clinic/Center | 729 1/2 Massachusetts St Ste 214, Lawrence, KS 66044-2257 | 2020-06-24 |
| 1225669377 | Meas LLC | Clinic/Center | 9516 Lowell Ave, Overland Park, KS 66212-3301 | 2020-01-28 |
| 1316577497 | Sense of Self Therapy LLC | Clinic/Center | 10100 W 87th St Ste 118, Overland Park, KS 66212-4628 | 2020-01-17 |
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1467939124 | Alleviation Behavioral Health Care, LLC | Clinic/Center | 4123b Sw Twilight Dr, Topeka, KS 66614-3403 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on MS. SALLY J. JENSEN.
| 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.