Individual provider Active NPI

Manuel Jimenez Jimenez Jr., LMFT

  • Marriage & Family Therapist
  • Turlock, CA
National Provider Identifier
1891810958
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT37868 Issued in CA
Practice address
2111 Geer Rd Ste 510
Turlock, CA 95382-2472
Phone
(209) 633-3057
NPI assigned
Mar 20, 2007
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC 37868 CA
Marriage & Family Therapist 106H00000X LMFT37868 CA Primary

Addresses

Primary practice location

2111 Geer Rd Ste 510
Turlock, CA 95382-2472

Mailing address

2881 Jubilee Dr
Turlock, CA 95380-8430
Phone (209) 633-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 37868CAMDMental Health Counselor
LMFT37868CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Solano Past Accepting new patients
Sutter Visiting Nurse Association and Hospice PastSince Jan 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1891810958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 JUBILEE DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953808430",
            "telephone_number": "209-633-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 GEER RD STE 510",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822472",
            "telephone_number": "209-633-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MANUEL",
        "middle_name": "JIMENEZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 37868",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT37868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.