MR. EDGAR JIMENEZ (NPI# 1205019569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205019569 |
| Entity Type | Individual |
| Full Name | MR. EDGAR JIMENEZ |
| Credential | CADC |
| Practice Address |
402 E Main St Waterbury CT 06702-1701 |
| Practice Telephone | 0237551143 |
| Practice Fax Number | 2037533274 |
| Mailing Telephone | 0237551143 |
| Mailing Fax Number | 2037533274 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CADC1378 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982142410 | Edgar Leonel Jimenez | Counselor | 1111 Indio Muerto St, Santa Barbara, CA 93103-3422 | 2017-02-03 |
| 1730585605 | Edgar Jimenez | Pharmacy Technician | 1 Urb Camino Real, Caguas, PR 00727-9354 | 2014-11-05 |
| 1871726703 | Edgar Jimenez | Nurse Practitioner | 2931 Montana Ave Ste A, El Paso, TX 79903-2409 | 2009-08-26 |
| 1194233569 | Edgar Jimenez | Behavior Technician | 4025 Camino Del Rio S Ste 101, San Diego, CA 92108-4100 | 2018-01-18 |
| 1871975219 | Edgar Jimenez | In Home Supportive Care | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2015-06-22 |
| 1912981952 | Edgar J Jimenez | Internal Medicine | 2401 S 31st St, Temple, TX 76508-1133 | 2005-12-02 |
| 1073512042 | Edgar John Jimenez | Obstetrics & Gynecology | 80 Doctors Dr, Suite 2, Hendersonville, NC 28792-7290 | 2005-07-20 |
| Street Address |
402 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743469 | Alisha Sanders | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1275147472 | Cody Helgesen | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1952913006 | Christine Cagle | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-20 |
| 1518579804 | George Ramos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-19 |
| 1083237861 | Shalima Abdalla | Physician Assistant | 402 E Main St, Waterbury, CT 06702-1701 | 2020-05-27 |
| 1295360469 | Yvette Bonilla | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-09 |
| 1730714270 | Bryam Silva | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-05 |
| 1396379665 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-26 |
| 1972135143 | Geovanny Gallegos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-06 |
| 1821630211 | Leskia Vazquez | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1467998674 | Abundant Life Counseling LLC | Counselor | 21 W Main St Fl 4, Waterbury, CT 06702-2013 | 2017-01-11 |
| 1386180768 | Tariq M Abdulaziz | Counselor | 91 Schraffts Dr, Waterbury, CT 06705-3271 | 2017-01-10 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1114383627 | Rhinehart Counseling Services | Counselor | 73 Mohawk St Apt A, Waterbury, CT 06706-1911 | 2016-01-13 |
| 1760847263 | Ashley Zavalko | Counselor | 247 Circular Ave, Waterbury, CT 06705-2115 | 2015-12-28 |
| 1205200672 | Tia Sharmaine Rhinehart | Counselor | 182 Grand St Ste 314, Waterbury, CT 06702-1914 | 2015-11-21 |
| 1194130112 | Learning To Live Life, LLC | Counselor | 182 Grand St, Suite 420-422, Waterbury, CT 06702-1914 | 2014-06-28 |
| 1245594159 | Jose Eduardo Crego | Counselor | 969 W Main St Ste 1d, Waterbury, CT 06708-2667 | 2012-06-26 |
| 1265741821 | Michael Dutko | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2010-09-30 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.