Active NPI
Roxanna Jimenez
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1841657251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT142425
- Practice address
- 370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728 - Phone
- (310) 787-1500
- NPI assigned
- Jan 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC15008 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT142425 | CA | Primary |
Addresses
Primary practice location
370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Mailing address
5818 Clark Ave
Lakewood, CA 90712-1202
Phone (310) 701-4500
Other practice location 1
5818 Clark Ave
Lakewood, CA 90712
Phone (310) 701-6508
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 |
|---|---|---|---|
| APCC15008 | CA | MD | Professional Counselor |
| MFT142425 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1841657251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5818 CLARK AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121202",
"telephone_number": "310-701-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CRENSHAW BLVD STE E100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031728",
"telephone_number": "310-787-1500"
}
],
"practiceLocations": [
{
"address_1": "5818 Clark Ave",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CA",
"postal_code": "90712",
"country_code": "US",
"telephone_number": "310-701-6508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ROXANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC15008",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT142425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.