Ilsie M Jimenez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004677 Issued in NY

Practice address

1 Pinnacle PL
Suite 102
Albany, NY 12203-3496

Phone

(518) 689-0244

Fax

(518) 689-0241

NPI assigned

Jan 15, 2011

Sex

Female

Sole proprietor

Yes

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

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.

• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1992000327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121980698",
            "telephone_number": "518-429-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PL",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ILSIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica C Fleishman MD PC
• Jennifer Rose Jester, OTR/L
• Stephen L Jette
• Jewish Family Services of Northeastern New York
• Jill Braverman-Panza MD
• Yuan Kenneth Jin, DPT
• JK Physical Therapy of Albany, PLLC
• Jo Wellness
• Roberto Joaquin-Reyes, ACNP-BC
• Joel M. Spiro, M.D., P.C.

• Mental Health Counselor in Albany, NY
• Providers in Albany, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.