Active NPI
Rachel Ann Mims
- Professional Counselor
- Hillsboro, TX
National Provider Identifier
1215450614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74997
- Practice address
- 247 HCR 4264
Hillsboro, TX 76645-7256 - Phone
- (580) 647-6427
- NPI assigned
- Jul 18, 2017
- Last updated
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 74997 | TX | |
| Professional Counselor | 101YP2500X | 74997 | TX | Primary |
| Art Therapist | 221700000X | 74997 | TX |
Addresses
Primary practice location
247 HCR 4264
Hillsboro, TX 76645-7256
Mailing address
247 HCR 4264
Hillsboro, TX 76645-7256
Phone (580) 647-6427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74997 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veteran Art Therapy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Waco, TX
- NPI 1871016279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1215450614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 HCR 4264",
"city": "HILLSBORO",
"state": "TX",
"postal_code": "766457256",
"telephone_number": "580-647-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 HCR 4264",
"city": "HILLSBORO",
"state": "TX",
"postal_code": "766457256",
"telephone_number": "580-647-6427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "RACHEL",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "74997",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74997",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "TX",
"license": "74997",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.