Individual provider Active NPI

Cristina Jimenez, LMHC

  • Counselor
  • Fort Wayne, IN
National Provider Identifier
1801595038
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39005804A Issued in IN
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

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
39005804AINMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monarca Counseling LLC Mental Health Current Accepting new patients
Courageous Healing Inc Mental Health CurrentSince Mar 5, 2023 Accepting new patients
Courageous Healing, LLC PastSince Mar 5, 2023 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.

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.

Verify at the official NPI Registry.