Jenifer Jimison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256519 Issued in KY

Practice address

1169 Eastern Pkwy Ste 1236
Louisville, KY 40217-1462

Phone

(502) 829-7527

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lucas Counseling and Consulting, LLC

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1740881507

  Clinical

  Medicare reassignment NPD
• Mindful Mending LLC

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1275311912
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1558932145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 HAVENTREE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292263",
            "telephone_number": "502-829-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1236",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-829-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMISON",
        "first_name": "JENIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252367",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100750990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wei Helen Jiang, DPT
• Morgan Jicka
• Amal Jijakli, MD
• Erendira Jimenez-Esquinca
• Ramon S Jimerson
• Choongwon Jin
• Leah Jipping
• JL Chiropractic, P.S.C.
• JL Serenity Center LLC
• JNC Inc.

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.