AUGUST JENSEN


Address: 46 Stoller Rd, Trout Lake, WA 98650-9712
Phone: 5417161520

AUGUST JENSEN (NPI# 1902463813) 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) 1902463813
Entity Type Individual
Full Name AUGUST JENSEN
Credential MA, LPCI
Practice Address 46 Stoller Rd
Trout Lake
WA 98650-9712
Mailing Address Po Box 360
Trout Lake
WA 98650-0360
Practice Telephone 5417161520
Mailing Telephone 5417161520
Enumeration Date 2019-05-27
Last Update Date 2019-05-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
R5732 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
720 E Port Marina Dr, Hood River, OR 970312345 6517161520

Office Location

Street Address 46 STOLLER RD
City TROUT LAKE
State WA
Zip Code 98650-9712

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912982976 Charlene Jean Gilpatrick Massage Therapist 3 Murdock Way, Trout Lake, WA 98650 2005-12-13
1013084565 Trout Lake School District Local Education Agency (LEA) 2310 Highway 141, Trout Lake, WA 98650-9735 2006-11-29
1720015761 Marshal F Harpe Family Medicine 2384 Highway 141 # 482, Trout Lake, WA 98650-9735 2006-06-26

Providers in the same city

NPI Name Taxonomy Address Enumeration
1962671438 Trout Lake Township Ambulance 21501 S Beech St, Trout Lake, MI 49793 2008-02-28
1013084565 Trout Lake School District Local Education Agency (LEA) 2310 Highway 141, Trout Lake, WA 98650-9735 2006-11-29
1720015761 Marshal F Harpe Family Medicine 2384 Highway 141 # 482, Trout Lake, WA 98650-9735 2006-06-26
1912982976 Charlene Jean Gilpatrick Massage Therapist 3 Murdock Way, Trout Lake, WA 98650 2005-12-13

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City TROUT LAKE
Zip Code 98650

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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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