MS. LISA ANN JENSEN (LCPC) – Professional Counselor, NPI 1912387754

MS. LISA ANN JENSEN (LCPC) is a healthcare provider. based in Dekalb, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.008416 (IL). The NPI Number for MS. LISA ANN JENSEN (LCPC) is 1912387754

Main info

Female
Sole Proprietor
21 Years Of Experience
Name
MS. LISA ANN JENSEN (LCPC)
NPI
1912387754
Phone
(815) 751-5790
Address
1415 LEWIS ST
Enumeration Date
7 June 2015
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155012088
Graduation Year
2005 (21 years ago)
PAC ID
9436698180
Group Practice PAC ID
9032531769
Professional Enrollment ID
I20240827001037
Address ID
IL610681686RO604XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MS. LISA ANN JENSEN (LCPC)

  • 1415 LEWIS ST

    DEKALB, IL 601152631

    Phone: (815) 751-5790

    Type: Mailing

  • PO BOX 364

    ROCHELLE, IL 610680364

    Phone: (815) 751-5790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240827001037IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032531769View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL

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Frequently asked questions

How do I look up MS. LISA ANN JENSEN (LCPC) by NPI?
Use NPI 1912387754 when you need to reference MS. LISA ANN JENSEN (LCPC) in forms, claims, or directories.
Is MS. LISA ANN JENSEN (LCPC) currently active in the NPI registry?
CMS-published data lists MS. LISA ANN JENSEN (LCPC) as an active registrant.
What kind of provider is MS. LISA ANN JENSEN (LCPC)?
The page reflects Professional Counselor for MS. LISA ANN JENSEN (LCPC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. LISA ANN JENSEN (LCPC)?
The page summarizes Dekalb, Illinois for MS. LISA ANN JENSEN (LCPC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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