MEDICARE: MARIA ANGELA RODRIGUEZ JIMENEZ LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669117503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ANGELA RODRIGUEZ JIMENEZ LMHC

Provider Business Mailing Address
First Line	:	1867 2ND AVE APT 2B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-7414
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 LEXINGTON AVE FRNT 2
Second Line	:	#1254
City	:	NEW YORK
State	:	NY
Zip	:	10028
Country	:	US
Telephone Number	:	786-702-2901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2022
Last Update Date	:	09/03/2025

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