JASON LEE PIMENTEL RAC #15174 NPI 1144979360

NPI Information

  • NPI: 1144979360
  • Provider Name: JASON LEE PIMENTEL, RAC #15174
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 455 K ST
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 464-7224

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NPI Details

Jason Lee Pimentel, RAC #15174 is an addiction (substance use disorder) counselor in Crescent City, CA. Jason Lee Pimentel, RAC #15174 NPI is 1144979360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

455 K ST
CRESCENT CITY, CA
ZIP 95531-107
Phone: (707) 464-7224
Fax: (707) 465-4272

The enumeration date for this NPI number is 3/23/2022 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)RAC15174CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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