Active NPI
Dionne Jimenez, LCPC
- Professional Counselor
- Columbia, MD
National Provider Identifier
1013332709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5555
- Practice address
- 5457 Twin Knolls Rd Ste 310
Columbia, MD 21045-3296 - Phone
- (410) 997-0304
- Fax
- (410) 997-1397
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC5555 | MD | Primary |
Addresses
Primary practice location
5457 Twin Knolls Rd Ste 310
Columbia, MD 21045-3296
Mailing address
5457 Twin Knolls Rd Ste 310
Columbia, MD 21045-3296
Phone (410) 997-0304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5555 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopeworks of Howard County Inc | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1447485289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1013332709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5457 TWIN KNOLLS RD STE 310",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453296",
"telephone_number": "410-997-0304",
"fax_number": "410-997-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5457 TWIN KNOLLS RD STE 310",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453296",
"telephone_number": "410-997-0304",
"fax_number": "410-997-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "DIONNE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.