Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Hearon Sr.

Individual provider Counselor · NPI 1053861393

Jimmy Hearon Sr. is a Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

7240 E Southgate Dr Ste G
Sacramento, CA 95823-2627
Phone: (916) 391-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1237300816 (CA)
Counselor Taxonomy 101Y00000X · Licence R1237300816 (CA)

Record details

NPI number1053861393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 11, 2016
Last updated in NPPESOctober 11, 2016

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