Georgia Sue Jimenez, L.S.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2396 Issued in KS

Practice address

415 N Poplar Ave
Wichita, KS 67214-4529

Phone

(316) 686-6671

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992892467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 N TARA CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672263302",
            "telephone_number": "316-634-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N POPLAR AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144529",
            "telephone_number": "316-686-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GEORGIA",
        "middle_name": "SUE",
        "credential": "L.S.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Jia, MD
• Atieh Jibbe, M.D.
• Karim O Jibril, LMSW
• Ana Jimenez, A-GNP
• Arthur Steven Jimenez, D.D.S.
• Javier Jimenez
• Raodot Olamide Jimoh
• Jacob Jindra
• Alexandra Jinks
• P Joe Jittawait, OD

• All providers in Wichita, KS
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.