JIMMY DE HERRERA


Address: 1129 Francis St, Longmont, CO 80501-3703
Phone: 3037723853

JIMMY DE HERRERA (NPI# 1598112112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598112112
Entity Type Individual
Full Name JIMMY DE HERRERA
Credential CAC II
Practice Address 1129 Francis St
Longmont
CO 80501-3703
Practice Telephone 3037723853
Mailing Telephone 3037723853
Enumeration Date 2016-05-24
Last Update Date 2016-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ACB.0007468 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1129 FRANCIS ST
City LONGMONT
State CO
Zip Code 80501-3703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609224690 Counseling Services of Longmont Counselor 1129 Francis St, Longmont, CO 80501-3703 2016-05-31

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417567421 Michael Rodgers Counselor 3513 Camden Dr, Longmont, CO 80503-2156 2020-08-04
1043828676 Sarah Amberg Counselor 356 1/2 Main St # 5, Longmont, CO 80501-5527 2020-07-20
1952935751 Connections-adolescent and Family Counseling, LLC Counselor 500 9th Ave Ste 1, Longmont, CO 80501-4545 2020-03-02
1306495601 Jen Sutton, Lpc, Lac, Inc. Counselor 1245 Francis St Ste 1, Longmont, CO 80501-3759 2019-09-09
1295298545 Jovahna Pena Counselor Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 2019-04-12
1336619899 Gertie Breffle Counselor 7105 La Vista Pl Ste 150, Longmont, CO 80503-0805 2018-11-27
1588110860 Randall Bonnom Counselor 420 21st Ave #113, Longmont, CO 80501 2016-08-28
1568831824 Keith Carnahan Counselor 24 9th Ave, Longmont, CO 80501-4575 2015-09-16
1548650328 Maxxwell West Myers Counselor 1624 Green Pl, Longmont, CO 80501-5828 2015-01-30
1780015081 Jennifer Lynn Sutton Counselor 400 Emery St Apt 104, Longmont, CO 80501-1565 2013-12-11
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Competitor

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City LONGMONT
Zip Code 80501

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Dataset Information

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.

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