Jimmy Don Hargrove, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

66850 Issued in CA

Practice address

72710 E Lynn St
Thousand Palms, CA 92276-3312

Phone

(760) 343-3211

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Operation Safe House, Inc.

  • Community/Behavioral Health Agency
  • Thousand Palms, CA
  • NPI 1093010191
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1053673301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34538 DOUBLE DIAMOND DR",
            "city": "THOUSAND PALMS",
            "state": "CA",
            "postal_code": "922764107",
            "telephone_number": "760-702-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72710 E LYNN ST",
            "city": "THOUSAND PALMS",
            "state": "CA",
            "postal_code": "922763312",
            "telephone_number": "760-343-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "JIMMY",
        "middle_name": "DON",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "66850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Luz Home Care LLC
• De Luz Home Care LLC
• Pan Elliott
• Empowerment Home Care LLC
• Alma Nicole Garcia Duarte, LMFT
• Ima Jean Heron, LPCC
• Denisse Jara
• Veronica Lievanos
• Lifecare Solutions Inc
• Jorge Lopez Ruiz, P.P.S.

• Marriage & Family Therapist in Thousand Palms, CA
• Providers in Thousand Palms, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.