MRS. ELAINE IRIS JIMENEZ (NPI# 1760876809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760876809 |
| Entity Type | Individual |
| Full Name | MRS. ELAINE IRIS JIMENEZ |
| Other Name | ELAINE IRIS COLON |
| Credential | LMHC |
| Practice Address |
1515 Michelin Ct Lutz FL 33549-7533 |
| Mailing Address |
1644 Ludington Ave Wesley Chapel FL 33543-7603 |
| Practice Telephone | 8139498946 |
| Practice Fax Number | 8139492926 |
| Mailing Telephone | 8133683052 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DRIVER'S LICENSE | J552209689550 | 01 |
| FL | FDOH | MH17287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043593221 | Elaine Jimenez | Military Health Care Provider | 1811 Mobility Ln, Tampa, FL 33621-1500 | 2011-09-23 |
| Street Address |
1515 MICHELIN CT |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083786461 | Rahul Nandan Mehra | Psychiatry & Neurology | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2006-11-14 |
| 1871125757 | Cassandra Renee Murphy | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2020-02-07 |
| 1821636119 | Athena Fisher | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-12-17 |
| 1760033286 | Crystal Scott | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-09-25 |
| 1063060259 | April Veronica Campbell | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-08-30 |
| 1356800106 | Julian Martinez | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-03-19 |
| 1457815136 | Tracy Ellen Dasher | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2019-01-26 |
| 1669948014 | Amanda Lin Knose | Social Worker | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2018-10-23 |
| 1962978981 | Michelle A Ramsey | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2018-10-17 |
| 1801388947 | Anna Branca | Counselor | 1515 Michelin Ct, Lutz, FL 33549-7533 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596931 | Amber Renee Coleman | Counselor | 1475 Windjammer Loop, Lutz, FL 33559-6734 | 2020-04-07 |
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1316503022 | Deanna Paul | Counselor | 24160 State Road 54 Ste 5, Lutz, FL 33559-6766 | 2019-05-17 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1720482771 | Suzanne Johnson | Counselor | 1532 Coppersmith Ct, Lutz, FL 33559-3339 | 2014-10-20 |
| 1598174997 | Adrienne Jones | Counselor | 22404 Willow Lakes Dr, Lutz, FL 33549-9514 | 2014-08-11 |
| 1841530961 | Kristen Mccallum | Counselor | 19427 Morden Blush Dr, Lutz, FL 33558-9096 | 2013-02-26 |
| 1154686483 | Gabriel Adam Copello | Counselor | 1527 Dale Mabry Hwy Ste 101, Lutz, FL 33548-3031 | 2012-07-12 |
| 1245593672 | Atalia Fogel-bobo Lmhc PC LLC | Counselor | 18958 N Dale Mabry Hwy Ste 102, Lutz, FL 33548-4911 | 2012-06-20 |
| Find all providers in LUTZ | ||||
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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.