Individual provider Active NPI

Ana Del Rocio Trejo Jimenez

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1942926662
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178018042 Issued in IL
Practice address
1603 S 3Rd St
Mount Vernon, WA 98273-4909
Phone
(360) 588-2500
Fax
(360) 785-2016
NPI assigned
Oct 14, 2022
Last updated
May 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178018042 IL Primary

Addresses

Primary practice location

1603 S 3Rd St
Mount Vernon, WA 98273-4909

Mailing address

1603 S 3Rd St
Mount Vernon, WA 98273-4909
Phone (360) 785-2016

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

LicenseStateTypeSpecialty
178018042ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Roots Family Care PLLC CurrentSince Jun 2, 2024 Accepting new patients
Cascade Neuropsychology, PLLC CurrentSince Jun 10, 2024 Accepting new patients

Locations

1603 S 3rd St
Mount Vernon, WA 98273
Phone (360) 428-1884

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1942926662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734909",
            "telephone_number": "360-785-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734909",
            "telephone_number": "360-588-2500",
            "fax_number": "360-785-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO JIMENEZ",
        "first_name": "ANA",
        "middle_name": "DEL ROCIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178018042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

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

Verify at the official NPI Registry.