Active NPI 1780314237 Individual Practitioner Female Practitioner

Cassidy Jensen

Counselor - Professional • Derby, KS

Professional Overview & Biography Verified Profile Summary

Cassidy Jensen is a registered healthcare professional specializing in Counselor - Professional in Derby, KS. Practice services are available at 1221 N ROCK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 N Rock Rd

Derby, KS 670373678

Telephone 3167475072

Associated Practice Facility / Clinic

🏢 Michael D Gordon Od Pa Facility NPI 1306931472

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Derby, KS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 3.0 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

13 Specialists

Practicing in Derby, KS (1513 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-01

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License KS LCPC03919

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License KS LCPC03919

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Shonda Kooser , T-MFT -T

Marriage & Family Therapist

NPI 1265219265

TMFTT

Kenneth Kooser , LMFT -T

Marriage & Family Therapist

NPI 1831916048

LMFTT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

👤

Provider Name / Credentials Updated April 01, 2025

Recorded as CASSIDY JENSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Counselor

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2025

Counselor (License #LCPC03919 in KS)

✅

NPI Profile Active June 15, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2022

Registered at 1221 N ROCK RD, DERBY, KS 670373678 (Tel: 3167475072)

📍

Updated Business Mailing Address June 15, 2022

Registered at 106 E CREEKSTONE ST, MULVANE, KS 671109269 (Tel: 7852014666)

👤

Provider Name / Credentials Updated June 15, 2022

Recorded as CASSIDY COBERLY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2022

Counselor

🟢

Initial NPI Registration & Enumeration June 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1780314237

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2022

Last Update: April 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

106 E Creekstone St

Mulvane, KS 671109269

Phone: 7852014666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.