MELISSA JENSEN


Address: 611 W Park St, Urbana, IL 61801-2529
Phone: 2173833311

MELISSA JENSEN (NPI# 1619410578) 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) 1619410578
Entity Type Individual
Full Name MELISSA JENSEN
Practice Address 611 W Park St
Urbana
IL 61801-2529
Practice Telephone 2173833311
Mailing Telephone 2173833311
Enumeration Date 2016-11-28
Last Update Date 2016-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MELISSA JENSEN

NPI Name Taxonomy Address Enumeration
1114539988 Melissa Jensen Counselor 5303 Atascocita Rd Apt 1011, Humble, TX 77346-2873 2020-08-21
1578010807 Melissa Jensen Speech-Language Pathologist 15228 117th Pl Ne, Kirkland, WA 98034-4610 2016-09-02
1114318755 Melissa Jensen Specialist 370 Lawn Street, Pittsburgh, PA 15213 2015-02-17
1275942658 Melissa Jensen Psychologist 11550 Winton Rd Dept 100, Cincinnati, OH 45240-2355 2014-08-11
1457782682 Melissa Jensen Registered Nurse 20226 Seika Dr, Chugiak, AK 99567-0347 2013-12-13
1043518681 Melissa Nancy Jensen Speech-Language Pathologist 325 N Kentucky Ave, North Massapequa, NY 11758-1120 2011-03-07
1891340337 Melissa Jensen Specialist/Technologist 1901 56th Ave, Greeley, CO 80634-2980 2019-08-01
1487122024 Melissa Leeann Jensen Nurse Practitioner 4300 Roosevelt Way Ne, Seattle, WA 98105-4718 2018-11-12
1760978829 Melissa A Jensen Counselor 907 N Bluff Rd Ste 9, Collinsville, IL 62234-5816 2018-07-02
1114418845 Melissa Marie Jensen Behavior Technician 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2018-05-30

Office Location

Street Address 611 W PARK ST
City URBANA
State IL
Zip Code 61801-2529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831193416 Mark L Saxton Surgery 611 W Park St, Urbana, IL 61801-2529 2005-06-10
1083214514 Karissa Nelson Physical Therapist 611 W Park St, Urbana, IL 61801-2529 2020-10-26
1720698756 Justin Matthew Felix Surgery 611 W Park St, Urbana, IL 61801-2529 2020-08-04
1033729306 Patricia Fairchild Occupational Therapist 611 W Park St, Urbana, IL 61801-2529 2020-08-03
1851909782 Shruti Agarwal Internal Medicine 611 W Park St, Urbana, IL 61801-2529 2020-07-16
1396363321 Muhammad Umair Rana Internal Medicine 611 W Park St, Urbana, IL 61801 2020-07-07
1740807817 Salma Malik Internal Medicine 611 W Park St, Urbana, IL 61801 2020-07-06
1477171536 Audrey T Lam Internal Medicine 611 W Park St, Urbana, IL 61801-2529 2020-07-06
1255959318 Corbin Reid Mah Surgery 611 W Park St, Urbana, IL 61801-2529 2020-07-06
1093332652 Knika Sethi Surgery 611 W Park St, Urbana, IL 61801-2529 2020-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750908406 Kyla Jo Chantos Developmental Therapist 2155 Monroe Dr, Urbana, IL 61802-7564 2020-06-29
1376168740 Chelsea Gourley Developmental Therapist 202 Thompson St, Urbana, IL 61801-1859 2020-06-11
1295360899 Amanda York Developmental Therapist 904 Harmon St, Urbana, IL 61801-6832 2020-03-04
1164066361 Dayle Evelyn Perry Sargeant Developmental Therapist 104 S Grove St Apt 5, Urbana, IL 61802-3401 2019-10-30
1992279202 Crystal Williams Developmental Therapist 209 N Coler Ave Apt 4, Urbana, IL 61801-8106 2019-01-20
1780171934 Cristy Cribbett Developmental Therapist 820 Peach Tree St, Urbana, IL 61802-7367 2018-04-13
1255736286 Luminita Cristina Hartle Developmental Therapist 1707 S Cottage Grove Ave, Urbana, IL 61801-5976 2014-11-04
1255756839 Tanapol Vikitsreth Developmental Therapist 700 S Gregory St Apt 501, Urbana, IL 61801-3785 2014-02-19
1073832010 Kathleen A. Shea Developmental Therapist 508 E Scovill St, Urbana, IL 61801-6745 2010-05-28
1306069588 Sara Elizabeth Becker Developmental Therapist 2 Penn Ct, Urbana, IL 61801-5235 2007-04-10
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City URBANA
Zip Code 61801

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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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