Karysa Ann Jimenez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

193 Blue Ravine Rd
Folsom, CA 95630-4756

Phone

(916) 988-5531

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

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.

• Nugent Family Counseling Center Inc

  dba Mountain EAP

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1679005862

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1710533021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304756",
            "telephone_number": "916-988-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 BLUE RAVINE RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304756",
            "telephone_number": "916-988-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KARYSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Zurlinden Jennings, RN, FNP
• Gina L Jensen-Hill, NMW
• Brett T. Jensen, D.D.S.
• Jeslia Inc (Synergy HomeCare of Folsom Lake)
• Jessica Lepage-Smith, LCSW & Associates (Jessica LePage-Smith, LCSW)
• Myron Jimenez, O.D.
• Jateen Kumar Jivan, PHARMD
• Joanna H Nguyen MD Inc
• John B Hackert MD Inc (Sierra Colorectal Surgery, Inc)
• Ann John

• Marriage & Family Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.