Individual provider Active NPI

Shylecia Mimmitt

  • Clinical Social Worker
  • Denton, TX
National Provider Identifier
1982307278
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110638 Issued in TX
Practice address
2660 Scripture St Ste 210
Denton, TX 76201-4343
Phone
(940) 220-8491
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110638 TX Primary

Addresses

Primary practice location

2660 Scripture St Ste 210
Denton, TX 76201-4343

Mailing address

2660 Scripture St Ste 210
Denton, TX 76201-4343
Phone (940) 220-8491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260623004913 TX Practitioner - Clinical Social Worker 8325511124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 W 5TH St
Justin, TX 76247-4622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110638TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grateful Heart Counseling, PLLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

2660 Scripture St
Ste 210
Denton, TX 76201
Phone (940) 202-9010

211 W 5th St
Justin, TX 76247
Phone (940) 202-9010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1982307278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SCRIPTURE ST STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014343",
            "telephone_number": "940-220-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SCRIPTURE ST STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014343",
            "telephone_number": "940-220-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMMITT",
        "first_name": "SHYLECIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.