Individual provider Active NPI

Monica Jimenez, LPC

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1932586880
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5959 S Staples St Ste 200
Corpus Christi, TX 78413-3844
Phone
(361) 442-4024
Fax
(361) 806-9491
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71283 TX
Counselor 101Y00000X Primary

Addresses

Primary practice location

5959 S Staples St Ste 200
Corpus Christi, TX 78413-3844

Mailing address

PO Box 61226
Corpus Christi, TX 78466-1226
Phone (361) 442-4024

Other identifiers 1

IdentifierTypeStateIssuer
1932586880MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000366 TX Practitioner - Mental Health Counselor 3678922127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71283TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Psychological Associates Counselor CurrentSince Jan 1, 2024 Accepting new patients
Wave Counseling, PLLC Professional Current Accepting new patients

Locations

4639 Corona Dr
Ste 34
Corpus Christi, TX 78411
Phone (361) 442-4024

4639 Corona Dr
Ste 37
Corpus Christi, TX 78411
Phone (361) 442-4024

5959 S Staples St
Ste 200
Corpus Christi, TX 78413
Phone (361) 442-4024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1932586880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61226",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661226",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-442-4024",
            "fax_number": "361-806-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MONICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71283",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932586880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.