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UNKNOWN JIMINEZ
NPI 1124497714
Counselor - Professional in Kennett, MO

Active since September 24, 2015
1109 JONES ST, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Unknown Jiminez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNKNOWN JIMINEZ (NPI 1124497714) is an individual professional provider in Kennett, Missouri and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1124497714
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameUNKNOWN JIMINEZ
Location Address1109 JONES STKennett, MO 63857-3824
Mailing Address1109 Jones StKennett, MO 63857-3824 · (573) 888-5925
Phone(573) 888-5925
Sole ProprietorYes
Enumeration DateSeptember 24, 2015
✔ NPI 1124497714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1109 JONES ST, Kennett, MO 63857
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSI JOANN MASTERSON
Case Manager/Care Coordinator
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
KEITH LYNN CHADWELL
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
DR. PEGGY LOU MCMILLIN PH.D CSAC11
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
BRIAN BRANUM RASAC I, BS
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
TAMMIE LYNN STATLER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
HANNAH WILLIAMS
Technician, Other
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
PAM BUTTREY
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
STEVEN LEE RHINE
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Unknown Jiminez's NPI number?

The NPI number for Unknown Jiminez is 1124497714. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Unknown Jiminez located?

Unknown Jiminez practices at 1109 Jones St, Kennett, MO 63857. The listed phone number is (573) 888-5925.

What is Unknown Jiminez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Unknown Jiminez was last updated on September 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.