MS. CARLEEN S. JIMENEZ (NPI# 1396839544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396839544 |
| Entity Type | Individual |
| Full Name | MS. CARLEEN S. JIMENEZ |
| Credential | LPC |
| Practice Address |
2001 S State St Suite 2300 Salt Lake City UT 84190-2250 |
| Mailing Address |
164 N St Salt Lake City UT 84103-3881 |
| Practice Telephone | 8014682022 |
| Practice Fax Number | 8014682006 |
| Mailing Telephone | 8015398475 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
345654-6004 | UT | Ambulatory Health Care Facilities |
| Street Address |
2001 S STATE ST SUITE 2300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84190-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136136 | Salt Lake County | Public Health or Welfare | 2001 S State St, S1500, Salt Lake City, UT 84190-0001 | 2005-07-07 |
| 1962873703 | Iris Gonzales | Case Manager/Care Coordinator | 2001 S State St, Ste. S2300, Salt Lake City, UT 84190-0001 | 2015-10-19 |
| 1659742187 | Heidi Kenney | Case Manager/Care Coordinator | 2001 S State St, St S2300, Salt Lake City, UT 84190-0001 | 2015-10-09 |
| 1033580634 | Nelli Alexandra Olga Vi Crofts | Case Manager/Care Coordinator | 2001 S State St, Salt Lake City, UT 84190-0001 | 2015-10-08 |
| 1619367265 | Salt Lake County Aging & Adult Services | Case Management | 2001 S State St, S1 600, Salt Lake City, UT 84190-0001 | 2015-02-03 |
| 1841617263 | Ihc Health Services Inc | Family Medicine | 2001 S State St, Ste S2-500, Salt Lake City, UT 84190-3100 | 2014-03-24 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1235260795 | County of Salt Lake | Public Health or Welfare | 2001 S State St, Suite S2500, Salt Lake City, UT 84190-0001 | 2007-03-08 |
| 1306916325 | Tracy Christensen | Public Health or Welfare | 2001 S State St, Salt Lake City, UT 84190-0001 | 2006-11-08 |
| 1275627119 | Kitt Conrad Curtis | Counselor | 2001 S State St, Salt Lake City, UT 84190-2250 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
| 1578869954 | Directmd, LLC | Clinic/Center | Salt Lake County Government Ctr, 2001 South State Street, Ste S2400, Salt Lake City, UT 84190-0001 | 2011-02-02 |
| 1013149368 | Dagmar Vitek | Community Health Worker | 2001 S. State St., Suite S-2400, Salt Lake City, UT 84190-2150 | 2009-08-20 |
| 1396846986 | Judith Ann Vander Ziel | Social Worker | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2006-09-26 |
| 1376644963 | Lisa-linda Lee Hamilton | Social Worker | 2001 S State St Ste S-2300, Salt Lake City, UT 84190-2250 | 2006-09-26 |
| 1275634875 | Aurora Reyes | Counselor | Salt Lake County Substance Abuse, 2001 South State St # S -2300, Salt Lake City, UT 84190-2250 | 2006-09-26 |
| 1932422474 | Debbie L Scovill | Clinic/Center | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2010-03-11 |
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| 1578803748 | Recovery Ways, LLC | Clinic/Center | 1174 East 2760 South, Suite #10, Salt Lake City, UT 84106 | 2013-02-25 |
| 1942502638 | Tranquility Place of Utah LLC | Clinic/Center | 160 E 800 S Ste B, Salt Lake City, UT 84111-3827 | 2010-12-01 |
| 1003997701 | Assessment, Counseling & Educational Services | Clinic/Center | 3808 S West Temple, Sutie 150, Salt Lake City, UT 84115-4446 | 2006-10-18 |
| 1033143706 | Odyssey House Inc. | Clinic/Center | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2006-07-10 |
| 1477189900 | Red Willow Iop, Pllc | Clinic/Center | 1425 S 700 E Ste 102, Salt Lake City, UT 84105-2125 | 2020-03-16 |
| 1265871644 | Odyssey House | Clinic/Center | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2013-06-19 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1932422474 | Debbie L Scovill | Clinic/Center | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2010-03-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84190 |
Please comment or provide details below to improve the information on MS. CARLEEN S. JIMENEZ.
| 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.