Individual provider Active NPI

Nancy Anahi Jimenez, LMHP, LCSW

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1235888256
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4231 Issued in NE
Practice address
707 W 1St St
Grand Island, NE 68801-5805
Phone
(308) 675-3345
Fax
(308) 675-3342
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4231 NE Primary

Addresses

Primary practice location

707 W 1St St
Grand Island, NE 68801-5805

Mailing address

707 W 1St St
Grand Island, NE 68801-5805
Phone (308) 675-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230808003133 NE Practitioner - Clinical Social Worker 3476915414 Reassigns benefits to 1 organization
I20260324003437 NE Practitioner - Mental Health Counselor 3476915414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13101 Preston Rd
Suite 110
Dallas, TX 75240-5285

214 N Locust St
Suite 4
Grand Island, NE 68801-5967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4231NEMDMental Health Counselor
2188NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship House, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Esperanza Counseling LLC Mental Health Current Accepting new patients
Friendship House, Inc. PastSince Feb 10, 2025 Accepting new patients

Locations

707 W 1st St
Grand Island, NE 68801
Phone (308) 382-0422

Organizations & group practices 3

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1235888256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 1ST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015805",
            "telephone_number": "308-675-3345",
            "fax_number": "308-675-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 1ST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015805",
            "telephone_number": "308-675-3345",
            "fax_number": "308-675-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "NANCY",
        "middle_name": "ANAHI",
        "credential": "LMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.