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KIMBERLY JENSEN
NPI 1689457756
Counselor - Mental Health in South Jordan, UT

Active since August 14, 2023Opted out of Medicare · through May 15, 2028
1234 W SOUTH JORDAN PKWY STE B2, SOUTH JORDAN, UT 84095(801) 821-4501 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jensen NPPES

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

KIMBERLY JENSEN (NPI 1689457756) is an individual mental health provider in South Jordan, Utah, licensed in Utah (11784059-3501) and active in the NPI registry since August 2023. She has opted out of Medicare through May 15, 2028.

NPPES Registry Identity

NPI1689457756
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY JENSEN
Location Address1234 W SOUTH JORDAN PKWY STE B2South Jordan, UT 84095-4649
Mailing Address7174 S Breeze Hill RdWest Jordan, UT 84081-3928 · (801) 824-8089
Phone(801) 821-4501
Sole ProprietorNo
Enumeration DateAugust 14, 2023
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1689457756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 11784059-3501
1234 W SOUTH JORDAN PKWY STE B2, South Jordan, UT 84095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Jensen has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2024 through May 15, 2028.

Opt-Out Effective DateMay 15, 2024
Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

SARAH BETH PATIENCE TOLMAN
Counselor
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501
MIRANDA BAILEY NEIDER
Social Worker
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501
SYDNEY HALL
Social Worker (Clinical)
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501
BRANDIE CRYSTAL PATERAKIS
Social Worker (Clinical)
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501
JENIFER LEE SSW
Social Worker
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501
BRITTANY CARALYN FREITAS CSW
Social Worker (Clinical)
1234 W SOUTH JORDAN PKWY STE B2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 821-4501

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 Kimberly Jensen's NPI number?

The NPI number for Kimberly Jensen is 1689457756. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Kimberly Jensen located?

Kimberly Jensen practices at 1234 W South Jordan Pkwy Ste B2, South Jordan, UT 84095. The listed phone number is (801) 821-4501.

What is Kimberly Jensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Jensen enrolled in Medicare?

No. Kimberly Jensen has opted out of Medicare through May 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kimberly Jensen accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kimberly 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 Kimberly Jensen was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.