Active NPIIndividual providerSole proprietor

Kyle Jensen, MED, LADCI

Counselor, Addiction (Substance Use Disorder) in Cummington, Massachusetts

NPI Number1114821279
Practice location
21 Dodwells RD, Cummington, MA 01026-9705
Fax
—
Last updated
October 5, 2026

Kyle Jensen is a Counselor, Addiction (Substance Use Disorder) based in Cummington, MA. Kyle Jensen practices in Cummington, MA and has the professional credentials of MED, LADCI. The NPI Number for Kyle Jensen is 1114821279 and holds a License No. 19161 (MA). The current practice location address for Kyle Jensen is 21 Dodwells RD, Cummington, MA 01026-9705 and can be reached out via phone at 413-923-2526.

Provider Profile Details

NPI Number
1114821279
Provider Name
Kyle Jensen
Credential
MED, LADCI
Provider Entity Type
Individual
Gender
Female
Address
21 Dodwells RD, Cummington, MA 01026-9705
Phone Number
413-923-2526
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2026
Last Update Date
October 5, 2026
Certification Date
October 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Dodwells RD
Cummington, MA 01026-9705
Zip
01026-9705
Phone Number
413-923-2526
Cummington, MA 01026Get directions →

Provider Business Mailing Address Details

Address
21 Dodwells RD
Cummington, MA 01026-9705
City
Cummington
State
MA
Zip
01026-9705
Phone Number
413-923-2526

License Information

License Number
19161
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyle Jensen, MED, LADCI?

The NPI number of Kyle Jensen, MED, LADCI is 1114821279. It was assigned on October 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Kyle Jensen, MED, LADCI?

Kyle Jensen, MED, LADCI is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 19161.

Where does Kyle Jensen, MED, LADCI practice?

The practice location is 21 Dodwells RD, Cummington, MA 01026-9705. The office can be reached at 413-923-2526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114821279 directly on the NPPES registry website.

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