Jeanie R Shimmin, PPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1544 Issued in NE

Practice address

521 E 5TH St Ste 4
North Platte, NE 69101-6924

Phone

(307) 532-4197

Fax

(308) 221-5306

NPI assigned

May 18, 2012

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

• Therapeutic Choices Counseling Services

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  • NPI 1740890664
  NPD Authorized official
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  NPD (past)

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1659631158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 5TH ST STE 4",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016924",
            "telephone_number": "308-221-5288",
            "fax_number": "308-221-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 5TH ST STE 4",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016924",
            "telephone_number": "307-532-4197",
            "fax_number": "308-221-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMMIN",
        "first_name": "JEANIE",
        "middle_name": "R",
        "credential": "PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in North Platte, NE
• Providers in North Platte, NE by specialty
• Professional Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.