Healthcare Provider Details

I. General information

NPI: 1346169067
Provider Name (Legal Business Name): NATHAN P JENSEN MA, LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 OREGON PIKE STE 402
LANCASTER PA
17601-7300
US

IV. Provider business mailing address

200 KLINE RD
STEVENS PA
17578-9602
US

V. Phone/Fax

Practice location:
  • Phone: 717-405-0554
  • Fax:
Mailing address:
  • Phone: 484-889-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002539
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: