Mrs Samantha L Jimenez, LMFT is a
Marriage & Family Therapist based in Mustang, Oklahoma. Mrs Samantha L Jimenez is licensed to practice in Oklahoma (license number ) and her current practice location is
932 W State Highway 152, Mustang, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 551-1366.
NPI number for Mrs Samantha L Jimenez is 1578990024 and her current mailing address is 2641 Sw 107th St, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578990024.
Healthcare Provider's Profile
Full Name | Mrs Samantha L Jimenez |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 932 W State Highway 152, Mustang, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578990024
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 01/09/2023
Medical Identifiers
Medical identifiers for Mrs Samantha L Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578990024 | NPI | - | NPPES |
200508550A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (Oklahoma) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha L Jimenez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Samantha L Jimenez, LMFT 2641 Sw 107th St, Oklahoma City, OK 73170-2431 Ph: (405) 551-1366 | Mrs Samantha L Jimenez, LMFT 932 W State Highway 152, Mustang, OK 73064-2301 Ph: (405) 551-1366 |
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