Individual provider Active NPI

Aaron Joseph Jimenez, M.A.

  • Addiction (Substance Use Disorder) Counselor
  • Grand Junction, CO
National Provider Identifier
1457795833
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0000539 Issued in CO
Practice address
2956 North Ave Ste 6
Grand Junction, CO 81504-3919
Phone
(970) 589-1649
Fax
(970) 985-8036
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000539 CO Primary

Addresses

Primary practice location

2956 North Ave Ste 6
Grand Junction, CO 81504-3919

Mailing address

478 E Scenic Dr
Grand Junction, CO 81507-1588
Phone (970) 589-1649

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Aaron@foundations4life.net Direct

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

LicenseStateTypeSpecialty
ACD.0000539COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations 4 Life, LLC Addiction (Substance Use Disorder) CurrentSince Sep 6, 2020 Accepting new patients

Locations

2956 North Ave
Ste 6
Grand Junction, CO 81504
Phone (970) 589-1649

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1457795833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E SCENIC DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071588",
            "telephone_number": "970-589-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 NORTH AVE STE 6",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815043919",
            "telephone_number": "970-589-1649",
            "fax_number": "970-985-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aaron@foundations4life.net",
            "affiliation": "N",
            "endpointDescription": "Secure E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "478 E Scenic Dr",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815071588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.