Clara L Jimenez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-20977 Issued in AZ

Practice address

6751 N Sunset Blvd Ste 320
Glendale, AZ 85305-3155

Phone

(602) 677-6931

NPI assigned

Jan 18, 2023

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chrysalis Counseling Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1992410534
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1891400438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "602-677-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053155",
            "telephone_number": "602-677-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CLARA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrold K. Altman DMD,PC
• Indrajith Jetti
• David Jewett
• Jewish Family & Children's Service
• JG Dental PLLC
• George Anthony Jimenez II, PHARMD
• Melissa Jimenez, SLPA
• Tricia L Jimenez, M.A., LPC
• Yamei Jing
• Jeffrey S Jirak, LPC, LISAC

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.