ERICA A JIMENEZ (NPI# 1083881338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083881338 |
| Entity Type | Individual |
| Full Name | ERICA A JIMENEZ |
| Practice Address |
1149 N El Dorado St Stockton CA 95202-1305 |
| Practice Telephone | 2094682335 |
| Practice Fax Number | 2094680525 |
| Mailing Telephone | 2094682335 |
| Mailing Fax Number | 2094680525 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVERS LICENSE | B9067308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073709580 | Erica Jimenez | Marriage & Family Therapist | 820 Kains Ave, Apt. 204, Albany, CA 94706-1669 | 2007-09-18 |
| 1003242363 | Erica Jimenez | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2013-09-18 |
| 1639470297 | Erica Jeanine Jimenez | Student in an Organized Health Care Education/Training Program | 2640 Martin Luther King Jr. Way, Berkeley, CA 94704 | 2010-11-12 |
| 1891984886 | Erica Lucia Jimenez | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2007-10-16 |
| Street Address |
1149 N EL DORADO ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710193537 | San Joaquin County Behavioral Health Services | Clinic/Center | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2007-05-16 |
| 1477012581 | Nayeli Z Cruz | Case Manager/Care Coordinator | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2019-03-18 |
| 1356821706 | Frances Olivia Quintero | Peer Specialist | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2018-08-15 |
| 1245733203 | Latisha Rose Mucker | Peer Specialist | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2018-03-15 |
| 1396283719 | Shazia Niazi | Counselor | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2017-02-06 |
| 1104375724 | Gloria Cruz | Registered Nurse | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2016-09-23 |
| 1609324557 | Tatiana Castro | Counselor | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2016-09-20 |
| 1124474234 | Florencia Rodriguez-tavares | Counselor | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2016-05-06 |
| 1780039768 | Aries Moses | Non-emergency Medical Transport (VAN) | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2016-04-27 |
| 1992176341 | Almastro Denny Jr. | Driver | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| 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 |
|---|---|---|---|---|
| 1841805074 | Michael Leslie Lau | Counselor | 1176 Rosemarie Ln Apt 133, Stockton, CA 95207-6726 | 2020-09-14 |
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1417414608 | Dondre White | Counselor | 2433 Country Club Blvd Apt 106, Stockton, CA 95204-4733 | 2019-02-25 |
| 1073020731 | Sharlett Barnett Rose | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-01-03 |
| 1609387117 | Sunhouse | Counselor | 1781 Willow Park Way, Stockton, CA 95206-5832 | 2017-10-24 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1356870018 | Ana Sanchez | Counselor | 445 N. San Joaquin Street, Stockton, CA 95202 | 2017-06-07 |
| 1033647060 | Lisa Breshinsky | Counselor | 2200 Daniel Bray Hwy, Stockton, NJ 08559-1819 | 2017-06-04 |
| 1104353515 | Amy Elida Aitken | Counselor | 1803 W March Ln Ste C, Stockton, CA 95207-6414 | 2017-05-16 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on ERICA A 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.