Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Jensen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053966069

Shane Jensen is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019

Practice location Address checks out

610 22nd Ave S
Minneapolis, MN 55454-1315
Phone: (612) 330-1170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304481 (MN)

Record details

NPI number1053966069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESAugust 6, 2019

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