Shamerika Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704013770 Issued in VA

Practice address

291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473

Phone

(757) 962-6889

NPI assigned

Sep 20, 2021

Reactivated

Oct 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H.O.P.E. Family Support Services, Inc

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1235646043
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1174293112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 RAYNOR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 532",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625473",
            "telephone_number": "757-962-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHAMERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2023-10-25",
        "certification_date": "2021-10-08",
        "deactivation_date": "2021-10-08",
        "reactivation_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia-Leigh M Mitchell
• Kristine Marie Mitchell
• Paul William Mitchell, P.T.
• Sarah Mitchell, LPC
• Sedina Mitchell
• Shavonne I Mitchell, APRN
• Sierra Kathryn Mitchell
• Tess Mitchell, COTA
• Valerie Lynn Mitchell, LPC
• Van Buren Mitchell II

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.