Active NPI
Cielo Rosa Jimenez, MA, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1346560836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT112056
- Practice address
- 5252 Balboa Ave Ste 304
San Diego, CA 92117-6942 - Phone
- (858) 255-0789
- NPI assigned
- Jun 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT112056 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT112056 | CA | Primary |
Addresses
Primary practice location
5252 Balboa Ave Ste 304
San Diego, CA 92117-6942
Mailing address
PO Box 222
Del Mar, CA 92014-0222
Phone (858) 255-0789
Other practice location 1
2122 S El Camino Real Ste 203
Oceanside, CA 92054-6208
Phone (858) 255-0789
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT112056 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574985600000",
"number": "1346560836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920140222",
"telephone_number": "858-255-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE STE 304",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176942",
"telephone_number": "858-255-0789"
}
],
"practiceLocations": [
{
"address_1": "2122 S El Camino Real Ste 203",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920546208",
"country_code": "US",
"telephone_number": "858-255-0789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "CIELO",
"middle_name": "ROSA",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2019-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT112056",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT112056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.