Organization Active NPI

Lisa Jimenez Family Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
National Provider Identifier
1689482507
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LISA JIMENEZ FAMILY THERAPY
Practice address
130 W Branch St Ste B
Arroyo Grande, CA 93420-6617
Phone
(805) 668-2222
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Lisa Jimenez, LCSWNPI 1790800381
Title
Ceo
Phone
(805) 668-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

130 W Branch St Ste B
Arroyo Grande, CA 93420-6617

Mailing address

130 W Branch St Ste B
Arroyo Grande, CA 93420-6617
Phone (805) 668-2222

National Provider Directory

National Provider Directory

Locations

130 W Branch St
Ste B
Arroyo Grande, CA 93420
Phone (805) 364-2816

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1689482507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W BRANCH ST STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934206617",
            "telephone_number": "805-668-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W BRANCH ST STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934206617",
            "telephone_number": "805-668-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA JIMENEZ FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-668-2222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.