Dalisa Jimenez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17074 Issued in AZ

Practice address

15825 S 46TH St Ste 125
Phoenix, AZ 85048-0445

Phone

(480) 248-5338

NPI assigned

May 13, 2018

Last updated

Feb 23, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Tree Therapy Services LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1689131054
  Authorized official Same address or phone

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1407346778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 S 46TH ST STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480445",
            "telephone_number": "480-248-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 S 46TH ST STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480445",
            "telephone_number": "480-248-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@familytreetherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15825 S 46th St Ste 125",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850480445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elisabet Jimenez-Martinez
• Andrea Nathali Jimenez, LMSW
• Angel Star Jimenez, RN
• Brittney Kianna Jimenez
• Chantel Therese P Jimenez, NP
• Diana Alexis Jimenez, FNP-C
• Isabel M Jimenez, M.D.
• Kelly M Jimenez
• Maria G Jimenez, RN
• Mayra Vanessa Jimenez, LMSW

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.