MEDICARE: IAN CHARLES JENSEN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	117013	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01536011	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1841663069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN CHARLES JENSEN LMFT

Provider Business Mailing Address
First Line	:	2820 GLENDALE BLVD STE 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2723
Country	:	US
Telephone Number	:	323-796-5550
Fax Number	:	323-843-9827

Provider Business Practice Location Address
First Line	:	2820 GLENDALE BLVD STE 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2723
Country	:	US
Telephone Number	:	323-796-5550
Fax Number	:	323-843-9827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	02/28/2025

Similar Medicare Providers

1629271481 — ALLISON LEVINSON KING MTCM, LAC.
Practice Location Address:

2808 GLENDALE BL.
LOS ANGELES, CA
90039-2723

Practice Phone: 323-662-3907
Practice Fax:

1477868495 — LEONA KIMI MARRS M.S., L.AC.
Practice Location Address:

2820 GLENDALE BLVD
LOS ANGELES, CA
90039-2723

Practice Phone: 206-383-6746
Practice Fax:

1669726709 — BRIAN STACHOWIAK LMFT
Practice Location Address:

2820 GLENDALE BLVD STE 6
LOS ANGELES, CA
90039-2723

Practice Phone: 213-770-0820
Practice Fax:

1942601489 — CHARLOTTE KAY LMFT
Practice Location Address:

2820 GLENDALE BLVD STE 5
LOS ANGELES, CA
90039-2723

Practice Phone: 323-825-1585
Practice Fax:

1568857217 — MS. KIMBERLY L CHAN MFT
Practice Location Address:

2820 GLENDALE BLVD
LOS ANGELES, CA
90039-2723

Practice Phone: 888-930-1941
Practice Fax:

1205281185 — SHANA B DISKANT LMFT
Practice Location Address:

2820 GLENDALE BLVD # 3
LOS ANGELES, CA
90039-2723

Practice Phone: 323-877-5107
Practice Fax:

Directions to “ IAN CHARLES JENSEN LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.