SHANE JENSEN
NPI 1053966069
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Q: What is Shane Jensen's NPI number?

The NPI number for Shane Jensen is 1053966069. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Q: What is Shane Jensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shane Jensen was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2019

610 22ND AVE S, MINNEAPOLIS, MN 55454(612) 330-1170 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Jensen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE JENSEN (NPI 1053966069) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (304481) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053966069

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSHANE JENSEN

Location Address610 22ND AVE SMinneapolis, MN 55454-1315

Mailing Address610 22nd Ave SMinneapolis, MN 55454-1315

Phone(612) 330-1170

Sole ProprietorNo

Enumeration DateAugust 6, 2019

✔ NPI 1053966069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 304481

610 22ND AVE S, Minneapolis, MN 55454

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Jensen's NPI number?

The NPI number for Shane Jensen is 1053966069. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Shane Jensen located?

Shane Jensen practices at 610 22nd Ave S, Minneapolis, MN 55454. The listed phone number is (612) 330-1170.

What is Shane Jensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Jensen was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.