Active NPI
Jaime Erin Hinesly, LMFT
- Marriage & Family Therapist
- Visalia, CA
National Provider Identifier
1831233493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46730
- Practice address
- 107 N Hall St
Visalia, CA 93291-5850 - Phone
- (559) 802-0048
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46730 | CA | Primary |
Addresses
Primary practice location
107 N Hall St
Visalia, CA 93291-5850
Mailing address
4611 W Allen Ave
Visalia, CA 93291-7875
Phone (559) 802-0048
Other practice location 1
320 W Oak Ave
Visalia, CA 93291-4929
Phone (559) 625-2995
Other names 1
- Jaime Matlock
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 |
|---|---|---|---|
| 46730 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centraol Valley Recovery Services, Inc. | Past | Accepting new patients | |
| Central Valley Recovery Services, Inc.. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Visalia, CA
- NPI 1043346067
-
dba Mothering Heights
- Substance Abuse Rehabilitation Facility
- Visalia, CA
- NPI 1346620374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1831233493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 W ALLEN AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917875",
"telephone_number": "559-802-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N HALL ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915850",
"telephone_number": "559-802-0048"
}
],
"practiceLocations": [
{
"address_1": "320 W Oak Ave",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932914929",
"country_code": "US",
"telephone_number": "559-625-2995",
"fax_number": "559-625-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINESLY",
"first_name": "JAIME",
"middle_name": "ERIN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "MATLOCK",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.