Maria Juana Jimenez, MA MENTAL HEALTH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

255 S Carolina Ave
Lake Alfred, FL 33850-2923

Phone

(863) 206-7501

NPI assigned

Jan 9, 2020

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

Credentials

Master of Arts

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467092296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S CAROLINA AVE",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502923",
            "telephone_number": "863-206-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S CAROLINA AVE",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502923",
            "telephone_number": "863-206-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARIA",
        "middle_name": "JUANA",
        "name_prefix": "Ms.",
        "credential": "MA MENTAL HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "plantcity",
            "affiliation": "Y",
            "endpointDescription": "PlantCity",
            "affiliationName": "Healing Educational Alternatives for Deserving Students",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Plantcity",
            "address_1": "255 S Carolina Ave",
            "city": "Lake Alfred",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338502923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Duane Alan Mitchell, RN

• Mental Health Counselor in Lake Alfred, FL
• Providers in Lake Alfred, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.