Mariah Destini-Rae Jimenez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

120 Dartmouth Dr SE Apt D
Albuquerque, NM 87106-2261

Phone

(505) 460-2654

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Mariah Destini-Rae Lujan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1831799758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DARTMOUTH DR SE APT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062261",
            "telephone_number": "505-460-2654",
            "fax_number": "505-796-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DARTMOUTH DR SE APT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062261",
            "telephone_number": "505-460-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARIAH",
        "middle_name": "DESTINI-RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "LUJAN",
            "middle_name": "DESTINI-RAE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandra Jimenez, RN
• David Ray Jimenez, D.D.S.
• Gretzel Yarie Jimenez
• Kelcie Brynn Jimenez
• Lisa A Jimenez, MD
• Mary Elizabeth Jimenez
• Mayra Select... Jimenez, MOT, OTR/L
• Monic Jimenez
• Samantha Marie Jimenez
• Sheila Jimenez, MSW

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.