Individual provider Active NPI

Aaron Jimenez, LMFT

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1356779516
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102776 Issued in CA
Practice address
947 N la Cienega Blvd Ste H
West Hollywood, CA 90069-4700
Phone
(619) 618-8315
NPI assigned
Oct 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 102776 CA Primary

Addresses

Primary practice location

947 N la Cienega Blvd Ste H
West Hollywood, CA 90069-4700

Mailing address

947 N la Cienega Blvd Ste H
West Hollywood, CA 90069-4700

Other identifiers 1

IdentifierTypeStateIssuer
01261511MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
102776CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Marriage and Family Therapy Inc Marriage & Family Therapist CurrentSince Dec 22, 2024 Accepting new patients

Locations

947 N La Cienega Blvd
Ste H
West Hollywood, CA 90069
Phone (213) 357-1496

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1356779516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 N LA CIENEGA BLVD STE H",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 N LA CIENEGA BLVD STE H",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694700",
            "telephone_number": "619-618-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "AARON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.