MARY AMANDA JENSEN (NPI# 1265078935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265078935 |
| Entity Type | Individual |
| Full Name | MARY AMANDA JENSEN |
| Credential | CADC |
| Practice Address |
3990 E 20 N Rigby ID 83442-5818 |
| Practice Telephone | 2083907373 |
| Mailing Telephone | 2083907373 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11526 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205257193 | Mary Phyllis Jensen | Speech-Language Pathologist | 4690 Ne North Tolo Rd, Bainbridge Island, WA 98110-1429 | 2013-12-19 |
| 1356859672 | Mary Jensen | Clinic/Center | 3070 W Cardinal St, Lecanto, FL 34461-9539 | 2018-01-22 |
| 1184095218 | Mary Jensen | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2015-10-15 |
| 1043691611 | Mary Jensen | Physical Therapist | 2901 Ridgelake Dr, Ste 209, Metairie, LA 70002-4966 | 2015-06-09 |
| 1205187515 | Mary Katherine Jensen | Speech-Language Pathologist | 1809 Precinct Line Rd, Hurst, TX 76054-3132 | 2012-09-26 |
| 1700166931 | Mary Jensen | Specialist | 1250 Baseline, Cornelius, OR 97113 | 2011-08-19 |
| 1205914157 | Mary E Jensen | Radiology | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668 | 2006-11-01 |
| 1013954866 | Mary J Jensen | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-06-01 |
| Street Address |
3990 E 20 N |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1821466376 | Chad Judy | Speech-Language Pathologist | 152 E Main Street, Suite 110, Rigby, ID 83442 | 2015-09-14 |
| 1740588276 | Jessica Brodie | Speech-Language Pathologist | 165 Front Street, Driggs, ID 83442 | 2011-03-08 |
| 1255636304 | Kathy Lebaron | Midwife | 297n 3855 East, Rigby, ID 83442 | 2011-01-21 |
| 1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
| 1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
| Find all providers in zip 83442 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134555626 | Terri Dodge | Counselor | 126 S 1st W, Rigby, ID 83442-1307 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1063049682 | Angela Lynn Seal | Counselor | 246 N Curlew Dr Apt 3105, Ammon, ID 83401-1434 | 2020-03-24 |
| 1437785607 | Tamra J Peterson | Counselor | 1246 Yellowstone Ave Bldg F, Pocatello, ID 83201-4374 | 2020-03-19 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1689218018 | D6 Treatment | Counselor | 1001 N 7th Ave Ste 260, Pocatello, ID 83201-5788 | 2019-10-29 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1902453509 | James Floyd Young | Counselor | 504 11th Ave S, Nampa, ID 83651-4243 | 2019-08-20 |
| 1508339409 | Joyce Ella Turnboom | Counselor | 3213 N Tamarack Dr, Boise, ID 83703-4543 | 2019-01-03 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1063998748 | April Browne | Counselor | 2031 E Quail Run Rd, Emmett, ID 83617-5059 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
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| 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.