Individual provider Active NPI

Shari Cimino, MS

  • Mental Health Counselor
  • Plymouth, MI
National Provider Identifier
1124492715
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014371 Issued in MI
Practice address
643 N Mill St
Plymouth, MI 48170-1680
Phone
(734) 751-7005
Fax
(734) 259-8628
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401014371 MI Primary

Addresses

Primary practice location

643 N Mill St
Plymouth, MI 48170-1680

Mailing address

643 N Mill St
Plymouth, MI 48170-1680
Phone (734) 751-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002299 MI Practitioner - Mental Health Counselor 6800332198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

2525 Crooks Rd
Troy, MI 48084-4733
Phone (248) 731-7305

352 N Main St
Suite 4B
Plymouth, MI 48170-1270
Phone (734) 751-7005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Shari Cimino PLLC Mental Health CurrentSince May 12, 2024 Accepting new patients
Michigan Behavioral Medicine PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

352 N Main St
Ste 4B
Plymouth, MI 48170
Phone (734) 656-8249

2525 Crooks Rd
Ste 100
Troy, MI 48084
Phone (248) 731-7305

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1124492715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701680",
            "telephone_number": "734-751-7005",
            "fax_number": "734-259-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701680",
            "telephone_number": "734-751-7005",
            "fax_number": "734-259-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "SHARI",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.