IndividualActive
Carleen Jimenez, LPC
NPI 1396839544 · Substance Use Disorder Rehabilitation Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1396839544
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 345654-6004 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 S State St
Suite 2300
Salt Lake City, UT 84190-2250
Phone: (801) 468-2022
Fax: (801) 468-2006
Street-level locationGet directions
Mailing address
164 N St
Salt Lake City, UT 84103-3881
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.