Active NPI
Shemekia Mims
- Professional Counselor
- North Augusta, SC
National Provider Identifier
1376932756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC004513
- Practice address
- 44 Casalina Dr
North Augusta, SC 29860-9192 - Phone
- (803) 640-6529
- NPI assigned
- Jan 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC004513 | GA | Primary |
Addresses
Primary practice location
44 Casalina Dr
North Augusta, SC 29860-9192
Mailing address
44 Casalina Dr
North Augusta, SC 29860-9192
Phone (803) 640-6529
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 |
|---|---|---|---|
| APC004513 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1376932756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CASALINA DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609192",
"telephone_number": "803-640-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CASALINA DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609192",
"telephone_number": "803-640-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "SHEMEKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC004513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.