Individual provider Active NPI

Janessa Lynette Jimenez

  • Marriage & Family Therapist
  • Dublin, CA
National Provider Identifier
1003337411
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120452 Issued in CA
Practice address
11501 Dublin Blvd Ste 200
Dublin, CA 94568-2827
Phone
(925) 222-5207
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120452 CA Primary

Addresses

Primary practice location

11501 Dublin Blvd Ste 200
Dublin, CA 94568-2827

Mailing address

PO Box 511
Tracy, CA 95378-0511
Phone (925) 222-5207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003203 CA Practitioner - Marriage and Family Therapist 3072057306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120452CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Marriage & Family Therapist CurrentSince Jun 17, 2024 Accepting new patients

Locations

2105 Mlk
Fl 1
Berkeley, CA 94704
Phone (510) 900-9964

1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1003337411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953780511",
            "telephone_number": "925-222-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 DUBLIN BLVD STE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682827",
            "telephone_number": "925-222-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JANESSA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.