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JENNIFER MAE JENSEN CCC-SLP
NPI 1386613412
Speech-Language Pathologist in Lino Lakes, MN

Active since March 14, 2006
6776 LAKE DR, 220, LINO LAKES, MN 55014(651) 784-7007(651) 784-7992 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Jennifer Mae Jensen Ccc-slp NPPES

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

JENNIFER MAE JENSEN CCC-SLP (NPI 1386613412) is an individual speech-language pathologist provider in Lino Lakes, Minnesota, licensed in Minnesota (7350) and active in the NPI registry since March 2006. She maintains a secondary practice location in White Bear Lake.

NPPES Registry Identity

NPI1386613412
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNIFER MAE JENSENCredential: CCC-SLP
Location Address6776 LAKE DR, 220Lino Lakes, MN 55014-1191
Mailing Address6776 Lake Dr, 220Lino Lakes, MN 55014-1191 · (651) 784-7007 · Fax (651) 784-7992
Phone(651) 784-7007
Fax(651) 784-7992
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1386613412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 7350
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6776 LAKE DR, Lino Lakes, MN 55014
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Secondary Practice Location 1

Location 12555 County Road E EWhite Bear Lake, MN 55110-4906 · Phone (651) 683-2953

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Mae Jensen Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Advance Speech Therapy, LLC
Same address
Speech-Language Pathologist
6776 LAKE DR, 220
Lino Lakes, MN 55014
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1215144654 (651) 784-7007

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

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.

JASMIN CARLBLOM PT, DPT
Physical Therapist
6776 LAKE DR, SUITE 220
LINO LAKES, MN 55014
Anoka County (651) 784-7007
EMILY GOLDHAMMER CCC-SLP
Speech-Language Pathologist
6776 LAKE DR, 220
LINO LAKES, MN 55014
Anoka County (651) 784-7007
ADVANCE THERAPY
Speech-Language Pathologist
6776 LAKE DR
LINO LAKES, MN 55014
Anoka County (651) 784-7007
SHANA BANAS SLP
Speech-Language Pathologist
6776 LAKE DR, 220
LINO LAKES, MN 55014
Anoka County (651) 784-7007
VICTORIA HOLMQUIST
Occupational Therapist (Pediatrics)
6776 LAKE DR
LINO LAKES, MN 55014
Anoka County (651) 784-7007
EMILY JANE INIGUEZ OTR/L
Occupational Therapist (Pediatrics)
6776 LAKE DR, 220
LINO LAKES, MN 55014
Anoka County (651) 784-7007
KAYLEN WHETSTONE CCC-SLP
Speech-Language Pathologist
6776 LAKE DR, 220
LINO LAKES, MN 55014
Anoka County (651) 784-7007
DROEL FAMILY DENTISTRY, PC
Clinic/Center (Dental)
6776 LAKE DR, SUITE 240
LINO LAKES, MN 55014
Anoka County (651) 784-3583

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 Jennifer Jensen's NPI number?

The NPI number for Jennifer Jensen is 1386613412. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jennifer Jensen located?

Jennifer Jensen practices at 6776 Lake Dr 220, Lino Lakes, MN 55014. The listed phone number is (651) 784-7007.

What is Jennifer Jensen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jennifer Jensen enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Jensen reassigns Medicare benefits to Advance Speech Therapy, LLC (Lino Lakes, 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 Jennifer Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Jensen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.