Active NPI
Jami Elizabeth Jaimes, M. ED., LISAC
- Addiction (Substance Use Disorder) Counselor
- Mesa, AZ
National Provider Identifier
1831498690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11754
- Practice address
- 2150 S Country Club Dr
Suite 41
Mesa, AZ 85210-6809 - Phone
- (480) 497-4042
- NPI assigned
- Mar 19, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11754 | AZ | Primary |
Addresses
Primary practice location
2150 S Country Club Dr
Suite 41
Mesa, AZ 85210-6809
Mailing address
2150 S Country Club Dr
Suite 41
Mesa, AZ 85210-6809
Phone (480) 497-4042
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11754 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1831498690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 S COUNTRY CLUB DR",
"address_2": "SUITE 41",
"city": "MESA",
"state": "AZ",
"postal_code": "852106809",
"telephone_number": "480-497-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 S COUNTRY CLUB DR",
"address_2": "SUITE 41",
"city": "MESA",
"state": "AZ",
"postal_code": "852106809",
"telephone_number": "480-497-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIMES",
"first_name": "JAMI",
"middle_name": "ELIZABETH",
"credential": "M. ED., LISAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-19",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "11754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.