MS. JEANETTE JIMENEZ (NPI# 1518260462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518260462 |
| Entity Type | Individual |
| Full Name | MS. JEANETTE JIMENEZ |
| Practice Address |
53 Fermoy Heights Ave 2 Dorchester Center MA 02124-1403 |
| Practice Telephone | 8572460404 |
| Mailing Telephone | 8572460404 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750691390 | Jeanette Jimenez | Psychologist | Calle Guarionex #9, Local 2, Hato Rey, PR 00917 | 2010-10-18 |
| 1538626817 | Jeanette Jimenez | Behavior Technician | 3002 Dow Ave Ste 122, Tustin, CA 92780-7247 | 2019-02-22 |
| Street Address |
53 FERMOY HEIGHTS AVE 2 |
| City | DORCHESTER CENTER |
| State | MA |
| Zip Code | 02124-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437433752 | Sherae N Winston | Counselor | 5 Kingbird Rd, Dorchester Center, MA 02124-1664 | 2011-10-05 |
| 1063713576 | Lakisha Jordan | Counselor | 81 Milton Ave, Dorchester Center, MA 02124-4329 | 2010-11-15 |
| 1609199116 | Derek Washington | Counselor | 165 Gallivan Blvd, Dorchester Center, MA 02124-5503 | 2010-03-11 |
| 1063747681 | Leonora Denise Mclaren | Counselor | 31 Kenwood St, Dorchester Center, MA 02124-2211 | 2009-10-15 |
| 1164755765 | Stacey V Smith | Counselor | 69 Mascot St, Dorchester Center, MA 02124-4130 | 2009-09-14 |
| 1508027061 | Dawn A Fuentes Duarte-hairston | Counselor | 537 Park St, Dorchester Center, MA 02124-2023 | 2008-06-18 |
| 1528522950 | Christopher John Conroy | Counselor | 895 Blue Hill Ave, Dorchester Center, MA 02124-2902 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303739 | Michael James Brackett | Counselor | 81 Bedford St, Bridgewater, MA 02324-2504 | 2020-10-14 |
| 1245838200 | Rachel Lamusta | Counselor | 76 Crest Rd, Lynnfield, MA 01940-1904 | 2020-10-13 |
| 1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
| 1366049652 | Sabrina Salameh | Counselor | 11 Freely Drive, Stoughton, MA 02072-0207 | 2020-10-08 |
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1588271274 | Simon Hayward Waters | Counselor | 67 Rockrimmon Rd, Worcester, MA 01602-2231 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER CENTER |
| Zip Code | 02124 |
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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.