MINDY JENSEN LCSW - NPI 1114412350 - Social Worker in Saint Anthony, ID

Q: What is Mindy Jensen's NPI number?

The NPI number for Mindy Jensen is 1114412350. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Mindy Jensen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mindy Jensen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mindy Jensen Lcsw NPPES

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

MINDY JENSEN LCSW (NPI 1114412350) is an individual clinical provider in Saint Anthony, Idaho, licensed in Idaho (LCSW-40962) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114412350

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMINDY JENSENCredential: LCSW

Location Address335 E MAIN ST STE 1Saint Anthony, ID 83445-1546

Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4030

Phone(208) 356-4900

Fax(208) 624-4030

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 29, 2018

Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1114412350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-40962

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

335 E MAIN ST STE 1, Saint Anthony, ID 83445

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Secondary Practice Locations 2

Location 172 S 1st E Ste 103Rexburg, ID 83440-1902 · Phone (208) 356-4900 · Fax (208) 624-4030

Location 22970 S Yellowstone HwyRexburg, ID 83440-4059 · Phone (208) 313-6735

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mindy Jensen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416325741

PECOS Enrollment IDI20221117002509

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JACOB WAYNE MOSS M.D., J.D.

General Practice