Active NPI
Tia Jimenez Therapy Inc.
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1902622277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TIA JIMENEZ THERAPY INC.
- Practice address
- 397 Bridge St
Brooklyn, NY 11201 - Phone
- (718) 938-6896
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tia Jimenez, LPC, LMHC
- Title
- Ceo
- Phone
- (718) 938-6896
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
397 Bridge St
Brooklyn, NY 11201
Mailing address
2870 Peachtree Rd NW # 915-1980
Atlanta, GA 30305-2918
Phone (718) 938-6896
Other practice location 1
511 6th Ave # 7259
New York, NY 10011-8436
Phone (718) 938-6896
Other practice location 2
7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (718) 938-6896
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Atlanta, GA
- NPI 1174067789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735171200000",
"number": "1902622277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 PEACHTREE RD NW # 915-1980",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052918",
"telephone_number": "718-938-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 BRIDGE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-938-6896"
}
],
"practiceLocations": [
{
"address_1": "511 6th Ave # 7259",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100118436",
"country_code": "US",
"telephone_number": "718-938-6896",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 4th St N Ste 300",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337024399",
"country_code": "US",
"telephone_number": "718-938-6896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TIA JIMENEZ THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "TIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-938-6896",
"authorized_official_credential": "LPC, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.