Healthcare Provider Details

I. General information

NPI: 1184017428
Provider Name (Legal Business Name): JANA JENSEN EMERSON MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANA KAY JENSEN MFT

II. Dates (important events)

Enumeration Date: 03/11/2015
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OLD SAN FRANCISCO RD
SUNNYVALE CA
94086-6386
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 408-430-4251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT78607
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: