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DOMENICA JIMENEZ A.S
NPI 1699920868
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since December 01, 2008
3636 N 1ST ST STE 123, FRESNO, CA 93726(559) 512-6802 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Jan 5, 2023 (2 updates tracked since 2023).

About Domenica Jimenez A.s NPPES

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

DOMENICA JIMENEZ A.S (NPI 1699920868) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since December 2008. She maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1699920868
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMENICA JIMENEZCredential: A.S
Location Address3636 N 1ST ST STE 123Fresno, CA 93726-6818
Mailing Address1900 N Gateway BlvdFresno, CA 93727-1622 · (559) 512-6802
Phone(559) 512-6802
Sole ProprietorNo
Enumeration DateDecember 1, 2008
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1699920868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3636 N 1ST ST STE 123, Fresno, CA 93726
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Secondary Practice Location 1

Location 12772 S Martin L King Jr BlvdFresno, CA 93706-5345 · Phone (559) 512-6802

Other Providers at the Same Location NPPES 3

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

ANA MARIA RODRIGUEZ
Counselor (Mental Health)
3636 N 1ST ST STE 123
FRESNO, CA 93726
Fresno County (559) 512-6802
EDWARD ARTHUR CROSSMAN LMFT
Marriage & Family Therapist
3636 N 1ST ST STE 123
FRESNO, CA 93726
Fresno County (559) 512-6802
EARL GARY SPARKS
Peer Specialist
3636 N 1ST ST STE 123
FRESNO, CA 93726
Fresno County (559) 512-6802

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 Domenica Jimenez's NPI number?

The NPI number for Domenica Jimenez is 1699920868. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Domenica Jimenez located?

Domenica Jimenez practices at 3636 N 1st St Ste 123, Fresno, CA 93726. The listed phone number is (559) 512-6802.

What is Domenica Jimenez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Domenica Jimenez was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.