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DANIEL SCOTT JIMMERSON APCC
NPI 1609498542
Counselor - Mental Health in Trabuco Canyon, CA

Active since May 14, 2020Opted out of Medicare · through Feb 1, 2028
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679(818) 582-8832(818) 582-8836 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, May 14, 2020 (2 updates tracked since 2020).

About Daniel Scott Jimmerson Apcc NPPES

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

DANIEL SCOTT JIMMERSON APCC (NPI 1609498542) is an individual mental health provider in Trabuco Canyon, California, licensed in California (APCC9046) and active in the NPI registry since May 2020. He has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1609498542
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDANIEL SCOTT JIMMERSONCredential: APCC
Location Address20331 FLANAGAN ROADTrabuco Canyon, CA 92679
Mailing Address21951 Rimhurst Dr Unit JLake Forest, CA 92630-5971 · (949) 566-5039
Phone(818) 582-8832
Fax(818) 582-8836
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1609498542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · APCC9046
20331 FLANAGAN ROAD, Trabuco Canyon, CA 92679
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Daniel Scott Jimmerson Apcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MS. JOHN PAUL ZUNIGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. GINA REIGH FRAGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
LYNN MARIE NYHUS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
KELSEY FREDENBERG
Social Worker
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. YOLITA HENDRICKS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
DAISY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
ATLANTA DANIELLE ST.MARTIN RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MYKAYLA SWANSON
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832

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 Daniel Jimmerson's NPI number?

The NPI number for Daniel Jimmerson is 1609498542. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Daniel Jimmerson located?

Daniel Jimmerson practices at 20331 Flanagan Road, Trabuco Canyon, CA 92679. The listed phone number is (818) 582-8832.

What is Daniel Jimmerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Daniel Jimmerson enrolled in Medicare?

No. Daniel Jimmerson has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Daniel Jimmerson accept?

Health plans from UnitedHealthcare list Daniel Jimmerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Jimmerson was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.