Active NPI
Cristina Jimenez, LMHC
- Counselor
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39005804A
- Practice address
- 3514 Stellhorn Rd
Fort Wayne, IN 46815-4631 - Phone
- (260) 310-5471
- Fax
- (317) 759-7299
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39005804A | IN | Primary |
Addresses
Primary practice location
3514 Stellhorn Rd
Fort Wayne, IN 46815-4631
Mailing address
953 Buchanan St
Fort Wayne, IN 46803-4005
Phone (260) 310-5471
Other practice location 1
2013 S Anthony Blvd
Fort Wayne, IN 46803-3609
Phone (260) 255-3514
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cristina-jimenez.clientsecure.me/contact-widget | Health Information Exchange (HIE) | |
| Other URL | TherapyAppointment | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 39005804A | IN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarca Counseling LLC | Mental Health | Current | Accepting new patients |
| Courageous Healing Inc | Mental Health | Current | Accepting new patients |
| Courageous Healing, LLC | Past | Accepting new patients |
Locations
2013 S Anthony Blvd
Fort Wayne, IN 46803
Phone (260) 225-9991
3514 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 267-0705
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1235073958
-
- Mental Health Counselor
- Fort Wayne, IN
- NPI 1003444985
-
- Community/Behavioral Health Agency
- Fort Wayne, IN
- NPI 1922419852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1801595038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 BUCHANAN ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468034005",
"telephone_number": "260-310-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 STELLHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154631",
"telephone_number": "260-310-5471",
"fax_number": "317-759-7299"
}
],
"practiceLocations": [
{
"address_1": "2013 S Anthony Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468033609",
"country_code": "US",
"telephone_number": "260-255-3514",
"fax_number": "260-570-4739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "CRISTINA",
"name_prefix": "Miss",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "39005804A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cristina-jimenez.clientsecure.me/contact-widget",
"affiliation": "N",
"endpointDescription": "Business Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3514 Stellhorn Rd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468154631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TherapyAppointment",
"affiliation": "N",
"endpointDescription": "TherapyAppointment (TA) is one of the longest-running therapy focused EMRs originally built in 2008 by a group of therapists to meet the unique needs of psychologists, psychiatrists, counselors, etc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Case Notes, direct email w/ clients, billing, scheduling, etc.",
"address_1": "2013 S Anthony Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468033609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.