KIM JENSEN
NPI 1245467869
Marriage & Family Therapist in Medford, OR

Q: What is Kim Jensen's NPI number?

The NPI number for Kim Jensen is 1245467869. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is Kim Jensen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Jensen was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 22, 2009PECOS Enrolled

3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 816-4131(458) 226-2163 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Feb 7, 2024 (2 updates tracked since 2024).

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About Kim Jensen NPPES

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

KIM JENSEN (NPI 1245467869) is an individual marriage & family therapist in Medford, Oregon, licensed in Oregon (T1124) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245467869

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKIM JENSEN

Location Address3200 JUANIPERO WAYMedford, OR 97504-8580

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170

Phone(541) 816-4131

Fax(458) 226-2163

Sole ProprietorNo

Enumeration DateJune 22, 2009

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1245467869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OR · T1124

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3200 JUANIPERO WAY, Medford, OR 97504

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Jensen 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.

Other Providers at the Same Location NPPES 20

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

JENNIFER LYNN BURNETT CASTILLO

Counselor (Mental Health)