Jeremy Jensen, is a
Counselor - Mental Health based in Castledale, Utah. Jeremy Jensen is licensed to practice in Utah (license number 11450229-6009) and his current practice location is
45 E. 100 S., Castledale, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 381-2432.
NPI number for Jeremy Jensen is 1992255848 and his current mailing address is P.o. Box 867, Price, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992255848.
Healthcare Provider's Profile
| Full Name | Jeremy Jensen |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 45 E. 100 S., Castledale, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992255848
- Provider Enumeration Date: 10/04/2016
- Last Update Date: 06/11/2021
Medical Identifiers
Medical identifiers for Jeremy Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992255848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11450229-6009 (Utah) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Jensen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeremy Jensen,
P.o. Box 867,
Price, UT 84501-0867
Ph: (435) 637-7200 | Jeremy Jensen,
45 E. 100 S.,
Castledale, UT 84513
Ph: (435) 381-2432 |
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