Individual ProviderKristina JensenCounselorBehavioral Health & Social Service ProvidersPractice Address11404 West Dodge Road Suite 600, Omaha, NE 68154(402) 553-3000PECOS EnrollmentBased on the most recent information from CMS, provider Kristina Jensen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1336798305Provider TypeIndividualFull NameJensen, KristinaCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date9/11/2019Last Updated3/17/2022Contact InformationPractice LocationPractice Address11404 West Dodge Road Suite 600, Omaha, NE 68154Phone(402) 553-3000FaxUnlisted FaxMailing LocationMailing Address671 Legacy Pointe, Ashland, NE 68003PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2909NebraskaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense11991Nebraska