Kristin Danielle Jimenez, MAS-LAMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LMFT-15620 Issued in AZ

Practice address

4635 S Lakeshore Dr Ste 102
Tempe, AZ 85282-7127

Phone

(480) 243-9343

NPI assigned

Oct 2, 2019

Last updated

May 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Counseling Centers PC

  • Mental Health Counselor
  • Tempe, AZ
  • NPI 1699491548
  NPD Authorized official
• Castle Wellness Centers

  • Mental Health Counselor
  • Tempe, AZ
  • NPI 1508437443
  Authorized official Same address or phone

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1699316505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-243-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-243-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 E Baseline Rd Ste E-222",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342689",
            "country_code": "US",
            "telephone_number": "480-243-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KRISTIN",
        "middle_name": "DANIELLE",
        "credential": "MAS-LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMFT-15620",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": "LAMFT-10543",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LMFT-15620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Jew, M.D.
• Jey H's Safe House Inc (JEY H's Safe House Transportation)
• Romen K Jha, MD
• Jordynn Jimenez, RBT
• Josephine Jimenez
• Tierra June Jishie
• JMJ Counseling LLC (Trauma Therapy AZ)
• John G Fletcher DMD PLLC
• John M Goldberg MD PLLC
• John N Chrisagis O D P C (Tempe Eyecare Associates)

• Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.