Active NPI
Dante Jimenez, LPC-S, NCC
- Professional Counselor
- El Paso, TX
National Provider Identifier
1720207111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20243
- Practice address
- 6090 Surety Dr Ste 200
El Paso, TX 79905-2041 - Phone
- (915) 781-1337
- Fax
- (915) 881-4959
- NPI assigned
- Apr 24, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 20243 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20243 | TX | |
| Mental Health Counselor | 101YM0800X | 20243 | TX | |
| Professional Counselor | 101YP2500X | 20243 | TX | Primary |
Addresses
Primary practice location
6090 Surety Dr Ste 200
El Paso, TX 79905-2041
Mailing address
2229 Tierra Robles Dr
El Paso, TX 79938-4406
Phone (915) 274-3166
Other practice location 1
2229 Tierra Robles Dr
El Paso, TX 79938
Phone (915) 274-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1797169-01 | Other | TX | MEDICAID--TPI (PERSONAL) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20243 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1720207111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 TIERRA ROBLES DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384406",
"telephone_number": "915-274-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 SURETY DR STE 200",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052041",
"telephone_number": "915-781-1337",
"fax_number": "915-881-4959"
}
],
"practiceLocations": [
{
"address_1": "2229 Tierra Robles Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "79938",
"country_code": "US",
"telephone_number": "915-274-3166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "DANTE",
"credential": "LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "20243",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "20243",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "20243",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID--TPI (PERSONAL)",
"identifier": "1797169-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.