NELLY P JIMENEZ (NPI# 1730603168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730603168 |
| Entity Type | Individual |
| Full Name | NELLY P JIMENEZ |
| Practice Address |
405 Central Avenue Northfield IL 60093 |
| Mailing Address |
2471 Girard Turn Kankakee IL 60901-7360 |
| Practice Telephone | 8474415603 |
| Practice Fax Number | 8474417968 |
| Mailing Telephone | 6306057949 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
405 CENTRAL AVENUE |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174805212 | Robert J Bodary | Student in an Organized Health Care Education/Training Program | 405 Central Avenue, Northfield, IL 60093 | 2011-09-14 |
| 1811055114 | Anett Rollin | Social Worker | 405 Central Avenue, Northfield, IL 60093 | 2006-12-05 |
| 1700826112 | Susan Crifase Lin | Psychiatry & Neurology | 405 Central Avenue, Northfield, IL 60093 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463944 | Cheryl L Chiarello | Counselor | Legacy Treatment Services, 561 Tilton Road, Northfield, NJ 08225 | 2019-02-14 |
| 1730458944 | Luann A Miller | Counselor | 1750 Zion Rd Ste 209, Northfield, NJ 08225-1844 | 2011-12-16 |
| 1407132749 | Amy Lynn Yu | Counselor | 141 E Aurora Rd Ste 1, Northfield, OH 44067-2091 | 2011-11-01 |
| 1699912485 | Herbert L Hall | Counselor | 104 Campville Rd, Northfield, CT 06778-2622 | 2009-01-15 |
| 1760631808 | Frederick Douglas Quinn | Counselor | 540 W. Frontage Road, Suite 2115, Northfield, IL 60093-1291 | 2008-09-12 |
| 1568642213 | Caralyn L. Graham | Counselor | 1850 Oak St, Suite 250, Northfield, IL 60093-3042 | 2007-11-10 |
| 1104993781 | Nancy Lynn Gregerson | Counselor | 818 College St, Northfield, MN 55057-2538 | 2006-11-29 |
| 1235764895 | Robert Granquist | Counselor | 570 Professional Drive, Northfield, MN 55057 | 2020-03-04 |
| 1093345902 | Angela Ann Rauchwarter | Counselor | 570 Professional Dr, Northfield, MN 55057-2756 | 2020-01-20 |
| 1366913188 | Emily Chalkley | Counselor | 405 Central Ave, Northfield, IL 60093-3006 | 2018-12-06 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
Please comment or provide details below to improve the information on NELLY P 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.