Camille Jensen, MA, LPCC, LADC in Fridley, MN

Camille Jensen, MA, LPCC, LADC is a medicare enrolled "Counselor - Professional" provider in Fridley, Minnesota. Her current practice location is 1250 Moore Lake Dr E Ste 205c, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 244-6516.

Camille Jensen is licensed to practice in Minnesota (license number CC03175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174277727.

Contact Information

	Camille Jensen, MA, LPCC, LADC
	1250 Moore Lake Dr E Ste 205c, Fridley, MN 55432-5176
	(763) 244-6516
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Camille Jensen
Gender	Female
Speciality	Counselor - Professional
Location	1250 Moore Lake Dr E Ste 205c, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174277727
Provider Enumeration Date: 02/11/2022
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 9234662503
Enrollment ID: I20241024002376

Medical Identifiers

Medical identifiers for Camille Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174277727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC03175 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Camille Jensen allows following entities to bill medicare on her behalf.

Entity Name	Wild & Free Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689454951 PECOS PAC ID: 6709319072 Enrollment ID: O20241024002207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Camille Jensen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Camille Jensen, MA, LPCC, LADC 2589 Hamline Ave N, Roseville, MN 55113-3184 Ph: () -	Camille Jensen, MA, LPCC, LADC 1250 Moore Lake Dr E Ste 205c, Fridley, MN 55432-5176 Ph: (763) 244-6516

Reviews and Comments

Counselor in Fridley, MN

Mohamed Hassan Ahmed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6599 Channel Rd Ne, Fridley, MN 55432 Phone: 763-318-4122
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105
Matthew John Fritscher, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
David Alan Wood, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288

Camille Jensen, MA, LPCC, LADC - Medicare Counselor in Fridley, MN