CAMILLE JENSEN MA, LPCC, LADC
NPI 1174277727
Counselor - Professional in Fridley, MN

Q: What is Camille Jensen's NPI number?

The NPI number for Camille Jensen is 1174277727. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Q: What is Camille Jensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Camille Jensen was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 February 11, 2022PECOS Enrolled

1250 MOORE LAKE DR E STE 205C, FRIDLEY, MN 55432(763) 244-6516 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Camille Jensen Ma, Lpcc, Ladc NPPES

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

CAMILLE JENSEN MA, LPCC, LADC (NPI 1174277727) is an individual professional provider in Fridley, Minnesota, licensed in Minnesota (CC03175) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174277727

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCAMILLE JENSENCredential: MA, LPCC, LADC

Location Address1250 MOORE LAKE DR E STE 205CFridley, MN 55432-5176

Mailing Address2589 Hamline Ave NRoseville, MN 55113-3184

Phone(763) 244-6516

Sole ProprietorYes

Enumeration DateFebruary 11, 2022

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1174277727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC03175

1250 MOORE LAKE DR E STE 205C, Fridley, MN 55432

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Jensen Ma, Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Camille Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wild & Free Counseling

0.1 mi

Community/Behavioral Health

1250 MOORE LAKE DR E
Fridley, MN 55432

Reassigned Medicare billing, Minnesota enrollment
2 clinicians in this Medicare group

NPI 1689454951 (763) 244-6516

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Camille Jensen's NPI number?

The NPI number for Camille Jensen is 1174277727. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Camille Jensen located?

Camille Jensen practices at 1250 Moore Lake Dr E Ste 205C, Fridley, MN 55432. The listed phone number is (763) 244-6516.

What is Camille Jensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Camille Jensen enrolled in Medicare?

Yes. Camille Jensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Jensen reassigns Medicare benefits to Wild & Free Counseling (Fridley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Jensen accept?

Health plans from HealthPartners list Camille Jensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camille Jensen was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.