Provider Demographics
NPI:1639311343
Name:JIMENEZ, KRISTA CATHERINE (LMHC)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:CATHERINE
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:CATHERINE
Other - Last Name:WESTMILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:198 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2106
Mailing Address - Country:US
Mailing Address - Phone:315-491-9247
Mailing Address - Fax:
Practice Address - Street 1:198 BOSTON ST
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2106
Practice Address - Country:US
Practice Address - Phone:315-491-9247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MALMHC10004292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health