Carleen S. Jimenez, LPC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

345654-6004 Issued in UT

Practice address

2001 S State St
Suite 2300
Salt Lake City, UT 84190-2250

Phone

(801) 468-2022

Fax

(801) 468-2006

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396839544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 N ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033881",
            "telephone_number": "801-539-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S STATE ST",
            "address_2": "SUITE 2300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841902250",
            "telephone_number": "801-468-2022",
            "fax_number": "801-468-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARLEEN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "345654-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hina Jhawer
• Amanda Jiang
• Bill F Jiang
• Jill E Clark MD PC
• Gregory Jimas
• Elena Jimenez
• Isamar Jimenez, LCSW
• Jara Jimenez
• Jona Jimenez
• Keisha Jimenez

• Substance Use Disorder Rehabilitation Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.