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Active NPI 1124497714 Individual Practitioner Male Practitioner

Unknown Jiminez

Counselor - Professional • Kennett, MO

Professional Overview & Biography Verified Profile Summary

Unknown Jiminez is a registered healthcare professional specializing in Counselor - Professional in Kennett, MO. Practice services are available at 1109 JONES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1109 Jones St

Kennett, MO 638573824

Telephone 5738885925
Associated Practice Facility / Clinic
🏢 Family Counseling Center, Inc Facility NPI 1154700672

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Kennett, MO (5929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Myra Callahan

Case Manager/Care Coordinator

NPI 1003237264
Julee Hill

Case Manager/Care Coordinator

NPI 1003263344
Ann Graf , PLPC

Counselor - Professional

NPI 1003328873
Jeremy Tucker

Behavior Technician

NPI 1003594581
Krystal Barton

Behavior Technician

NPI 1003775677
Jeanie Welch , LCSW

Social Worker - Clinical

NPI 1013267384

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2015

Registered at 1109 JONES ST, KENNETT, MO 638573824 (Tel: 5738885925)

📍
Updated Business Mailing Address September 24, 2015

Registered at 1109 JONES ST, KENNETT, MO 638573824 (Tel: 5738885925)

👤
Provider Name / Credentials Updated September 24, 2015

Recorded as UNKNOWN JIMINEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2015

Counselor

🟢
Initial NPI Registration & Enumeration September 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124497714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2015
Last Update: September 24, 2015
Sole Proprietor: Yes

Mailing Address

1109 Jones St

Kennett, MO 638573824

Phone: 5738885925

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.