MS. LISSETTE JIMENEZ LSW
NPI 1881985091
Counselor - Mental Health in Chicago, IL

Active since April 21, 2011
4822 N BROADWAY ST, 2ND FLOOR, CHICAGO, IL 60640(773) 429-9287 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lissette Jimenez Lsw NPPES

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

MS. LISSETTE JIMENEZ LSW (NPI 1881985091) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1881985091
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LISSETTE JIMENEZCredential: LSW
Location Address4822 N BROADWAY ST, 2ND FLOORChicago, IL 60640-3604
Mailing Address1117 N Dearborn St, Apt 416Chicago, IL 60610-2701 · (317) 402-9123
Sole ProprietorYes
Enumeration DateApril 21, 2011
NPI 1881985091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4822 N BROADWAY ST, Chicago, IL 60640

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
4822 N BROADWAY ST
CHICAGO, IL 60640
Social Worker (Clinical)
4822 N BROADWAY ST, 2ND FLOOR
CHICAGO, IL 60640
Social Worker (Clinical)
4822 N BROADWAY ST, SECOND FLOOR
CHICAGO, IL 60640
Social Worker (Clinical)
4822 N BROADWAY ST, 2ND FLOOR
CHICAGO, IL 60640

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 Lissette Jimenez's NPI number?

The NPI number for Lissette Jimenez is 1881985091. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Lissette Jimenez located?

Lissette Jimenez practices at 4822 N Broadway St 2nd Floor, Chicago, IL 60640. The listed phone number is (773) 429-9287.

What is Lissette Jimenez's specialty?

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

When was this NPI record last updated?

The NPPES record for Lissette Jimenez was last updated on April 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.