National Provider Identifier
Richard Jimenez, LMHC, CASAC
Richard Jimenez, LMHC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Depew, NY and a listed phone number of (716) 281-0102.
Profile Overview
- NPI
- 1073802823
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 01, 2011
- Last Updated
- June 27, 2024
Practice Location
- 5813 Transit RD
- Depew, NY 14043-2819
Phone: (716) 281-0102
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1073802823
- Entity Type
- Individual
- Last Name
- Jimenez
- First Name
- Richard
- Credential
- LMHC, CASAC
- Provider Other Last Name
- Jimenez
- Provider Other First Name
- Ricardo
- Provider Other Credential Text
- LMHC, CASAC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5813 Transit RD
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-2819
- Mailing Country
- US
- Mailing Phone
- (716) 281-0102
- Mailing Fax
- (716) 989-4704
- Practice Street Address
- 5813 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2819
- Practice Country
- US
- Practice Phone
- (716) 281-0102
- Practice Fax
- (716) 989-4704
- Enumeration Date
- April 01, 2011
- Last Updated
- June 27, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)