Active NPI
Dora Luz Jimenez, MA,LPC
- Professional Counselor
- Conroe, TX
National Provider Identifier
1275097586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77126
- Practice address
- 233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990 - Phone
- (832) 795-1346
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 77126 | TX | |
| Professional Counselor | 101YP2500X | 77126 | TX | Primary |
Addresses
Primary practice location
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Mailing address
2939 Smokey Forest LN
Spring, TX 77386-3361
Phone (832) 795-1346
Other practice location 1
2939 Smokey Forest Ln
Spring, TX 77386-3361
Phone (832) 795-1346
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77126 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cielo Counseling Center | Mental Health | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1275097586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2939 SMOKEY FOREST LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773863361",
"telephone_number": "832-795-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 SGT ED HOLCOMB BLVD S",
"city": "CONROE",
"state": "TX",
"postal_code": "773041990",
"telephone_number": "832-795-1346"
}
],
"practiceLocations": [
{
"address_1": "2939 Smokey Forest Ln",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773863361",
"country_code": "US",
"telephone_number": "832-795-1346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "DORA",
"middle_name": "LUZ",
"credential": "MA,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "77126",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.