Active NPI
A Step Forward, a Path to Wellness
- Community/Behavioral Health Agency
- Turlock, CA
National Provider Identifier
1205458288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- A STEP FORWARD, A PATH TO WELLNESS
- Practice address
- 2111 Geer Rd Ste 504
Turlock, CA 95382-2472 - Phone
- (209) 406-7665
- Fax
- (209) 633-3031
- NPI assigned
- May 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Manuel Jimenez Jimenez Jr., MA
- Title
- President
- Phone
- (209) 406-7665
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2111 Geer Rd Ste 504
Turlock, CA 95382-2472
Mailing address
875 Geer Rd
Turlock, CA 95380-3311
Phone (209) 406-7665
Other names 1
- Manuel J Jimenez Jr, Marriage Family Therapist, Professional Corp.
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | astepforwardapathtowellness@outlook.com | Direct | |
| Direct Messaging Address | astepforwardapathtowellness@outlook.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2111 Geer Rd
Ste 504
Turlock, CA 95382
Phone (209) 406-7665
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1205458288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 GEER RD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803311",
"telephone_number": "209-406-7665",
"fax_number": "209-633-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 GEER RD STE 504",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822472",
"telephone_number": "209-406-7665",
"fax_number": "209-633-3031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A STEP FORWARD, A PATH TO WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-12",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "JIMENEZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-406-7665",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astepforwardapathtowellness@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "875 Geer Rd",
"city": "Turlock",
"state": "CA",
"country_code": "US",
"postal_code": "953803311",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astepforwardapathtowellness@outlook.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "875 Geer Rd",
"city": "Turlock",
"state": "CA",
"country_code": "US",
"postal_code": "953803311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Manuel J Jimenez Jr, Marriage Family Therapist, Professional Corp.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Manuel J Jimenez Jr, Marriage Family Therapist, Professional Corp.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.