Candice Jean Shigemoto

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2723 Woodbine Ave
Henderson, NV 89074-1241

Phone

(702) 736-8100

NPI assigned

Sep 5, 2012

Last updated

Apr 5, 2016By the provider in NPPES

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Health Center, LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1184247496
  Medicare reassignment NPD
• Urban Healthy Minds, LLC

  dba Urban Healthy Minds

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1750960043
  Medicare reassignment NPD

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1396094306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 WOODBINE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 WOODBINE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741241",
            "telephone_number": "702-736-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGEMOTO",
        "first_name": "CANDICE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Shields, DMD
• Meron B Shiferaw
• Shift Psychiatry,LLC (Shift Psychiatry)
• Maiko Shigeeda, ATC
• Hidenobu Shigemitsu, M.D.
• Kindra Isabell Shines
• Melissa Shinnie
• Raiza Shipin, RD/RDN, LD
• Ryan C. Shipp, DMD, MS
• Romina Shirka, D.O.

• Mental Health Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.