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NICHOLAS ARRINGTON MIMS MA, LPC, LMHC
NPI 1114691730
Counselor - Mental Health in Seattle, WA

Active since August 06, 2021Opted out of Medicare · through Aug 26, 2026
4018 CALIFORNIA AVE SW APT 5, SEATTLE, WA 98116(206) 569-4509 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Aug 6, 2021 (2 updates tracked since 2021).

About Nicholas Arrington Mims Ma, Lpc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ARRINGTON MIMS MA, LPC, LMHC (NPI 1114691730) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH61263883) and active in the NPI registry since August 2021. He has opted out of Medicare through August 26, 2026.

NPPES Registry Identity

NPI1114691730
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS ARRINGTON MIMSCredential: MA, LPC, LMHC
Location Address4018 CALIFORNIA AVE SW APT 5Seattle, WA 98116-3782
Mailing Address100 N Howard St Ste 4424Spokane, WA 99201-0508 · (206) 569-4509
Phone(206) 569-4509
Sole ProprietorYes
Enumeration DateAugust 6, 2021
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1114691730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · LH61263883✔ Licensed in DC · LGPC00649✔ Licensed in DC · PRC200001257
4018 CALIFORNIA AVE SW APT 5, Seattle, WA 98116
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicholas Arrington Mims Ma, Lpc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2024 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2024
Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE SELF-INCLUSIVE COLLECTIVE, PLLC
Counselor (Mental Health)
4018 CALIFORNIA AVE SW APT 5
SEATTLE, WA 98116
King County (206) 569-4509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Mims's NPI number?

The NPI number for Nicholas Mims is 1114691730. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Nicholas Mims located?

Nicholas Mims practices at 4018 California Ave SW Apt 5, Seattle, WA 98116. The listed phone number is (206) 569-4509.

What is Nicholas Mims's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Mims enrolled in Medicare?

No. Nicholas Mims has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicholas Mims was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.