DR. ALEXIS JIMENEZ PSYD, LCP
NPI 1699412155
Psychologist - Clinical in Joliet, IL

Q: What is Alexis Jimenez's NPI number?

The NPI number for Alexis Jimenez is 1699412155. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Alexis Jimenez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Jimenez was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment

621 SPRINGWOOD DR, JOLIET, IL 60431(773) 680-2111 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Alexis Jimenez Psyd, Lcp NPPES

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

DR. ALEXIS JIMENEZ PSYD, LCP (NPI 1699412155) is an individual clinical provider in Joliet, Illinois, licensed in Illinois (071009726) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699412155

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ALEXIS JIMENEZCredential: PSYD, LCP

Location Address621 SPRINGWOOD DRJoliet, IL 60431-8993

Mailing Address621 Springwood DrJoliet, IL 60431-8993 · (773) 680-2111

Phone(773) 680-2111

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1699412155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009726

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

621 SPRINGWOOD DR, Joliet, IL 60431

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexis Jimenez Psyd, Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355876939

PECOS Enrollment IDI20241119002705

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alexis Jimenez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baal Perazim Wellness, Inc

35 mi

Internal Medicine

3416 S HALSTED ST
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
39 clinicians in this Medicare group

NPI 1215403530 (773) 296-2400

Grow Healthcare Group PA

1,177 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Illinois enrollment
581 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexis Jimenez's NPI number?

The NPI number for Alexis Jimenez is 1699412155. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Alexis Jimenez located?

Alexis Jimenez practices at 621 Springwood Dr, Joliet, IL 60431. The listed phone number is (773) 680-2111.

What is Alexis Jimenez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alexis Jimenez enrolled in Medicare?

Yes. Alexis Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexis Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Jimenez reassigns Medicare benefits to 2 organizations: Baal Perazim Wellness, Inc (Chicago, IL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Jimenez was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.