MRS. MICHELLE LEIGH JENSEN RSA
NPI 1043651797
Counselor - Mental Health in Mount Carroll, IL
Active since July 10, 2013
1126 HEALTHCARE DR, MOUNT CARROLL, IL 61053(815) 244-4200(815) 244-4202 Get Directions Write a Review
About Mrs. Michelle Leigh Jensen Rsa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE LEIGH JENSEN RSA (NPI 1043651797) is an individual mental health provider in Mount Carroll, Illinois and active in the NPI registry since July 2013.
NPPES Registry Identity
NPI1043651797
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MICHELLE LEIGH JENSENCredential: RSA
Location Address1126 HEALTHCARE DRMount Carroll, IL 61053-1469
Mailing Address14204 W Goldmine RdPearl City, IL 61062-9122
Phone(815) 244-4200
Fax(815) 244-4202
Sole ProprietorNo
Enumeration DateJuly 10, 2013
Last NPPES UpdateDecember 12, 2016
✔ NPI 1043651797 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1126 HEALTHCARE DR, Mount Carroll, IL 61053
Other Names 1
Former Name (1)Michelle Leigh Lessman Rsa
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
1126 HEALTHCARE DR
MOUNT CARROLL, IL 61053
MOUNT CARROLL, IL 61053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043651797, enumerated as an "individual" on July 10, 2013.
The provider is located at 1126 HEALTHCARE DR MOUNT CARROLL, IL 61053 and the phone number is (815) 244-4200.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
