Jimekun & Associates LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

JIMEKUN & ASSOCIATES LLC

Practice address

1365 Westgate Center Dr Ste N2
Winston Salem, NC 27103-3106

Phone

(336) 612-1126

Fax

(336) 768-3505

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Adegboyega, PHD, MAC, LCAS, LSAT

Title

Owner/President

Phone

(336) 612-1126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1700548724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE N2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-612-1126",
            "fax_number": "336-768-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE N2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-612-1126",
            "fax_number": "336-768-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMEKUN & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "ADEGBOYEGA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-612-1126",
        "authorized_official_credential": "PHD, MAC, LCAS, LSAT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Jewell, LCMHCA
• Shannon McShea Jewell, RDN
• Tamison Jewett, MD
• JFC Meridian Opco Winston Salem, LLC
• Suresh Jillellamudi, MD
• Carlos Alberto Jimenez Rosado
• Sara Jimenez
• Katelyn Elizabeth Jimison, PHARMD
• Tammy M Jividen, CRNA
• Jo Ann Morris

• All providers in Winston Salem, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.