Active NPI
Jennifer D'Ann Jimenez, LPC
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1508988866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18071
- Practice address
- 800 W Airport Fwy
Suite 430
Irving, TX 75062-6312 - Phone
- (214) 886-6040
- Fax
- (972) 554-7102
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18071 | TX | Primary |
Addresses
Primary practice location
800 W Airport Fwy
Suite 430
Irving, TX 75062-6312
Mailing address
8083 Stonebrook Pkwy
Frisco, TX 75034-7203
Phone (214) 886-6040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18071 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1508988866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8083 STONEBROOK PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347203",
"telephone_number": "214-886-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W AIRPORT FWY",
"address_2": "SUITE 430",
"city": "IRVING",
"state": "TX",
"postal_code": "750626312",
"telephone_number": "214-886-6040",
"fax_number": "972-554-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JENNIFER",
"middle_name": "D'ANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.