Active NPI
Arthur Felipe Jimenez, MS, MA, BCBA, LPC
- Behavior Analyst
- Crestwood, IL
National Provider Identifier
1619334240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18950
- Practice address
- 12745 Central Ave
Crestwood, IL 60418-1130 - Phone
- (708) 722-2384
- Fax
- (708) 926-9250
- NPI assigned
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.019800 | IL | |
| Behavior Analyst | 103K00000X | 1-15-18950 | IL | Primary |
Addresses
Primary practice location
12745 Central Ave
Crestwood, IL 60418-1130
Mailing address
12745 Central Ave
Crestwood, IL 60418-1130
Phone (708) 722-2384
Other practice location 1
2455 N Halsted St # 1S
Chicago, IL 60614-7546
Phone (708) 921-1261
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, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019800 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior, Education, Training, Healthcare, LTD | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1154731495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1619334240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12745 CENTRAL AVE",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604181130",
"telephone_number": "708-722-2384",
"fax_number": "708-926-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12745 CENTRAL AVE",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604181130",
"telephone_number": "708-722-2384",
"fax_number": "708-926-9250"
}
],
"practiceLocations": [
{
"address_1": "2455 N Halsted St # 1S",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606147546",
"country_code": "US",
"telephone_number": "708-921-1261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ARTHUR",
"middle_name": "FELIPE",
"credential": "MS, MA, BCBA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019800",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-15-18950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.