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MISS MARY MIMS
NPI 1174989016
Social Worker - Clinical in Homewood, IL

Active since January 07, 2016PECOS Enrolled
1051 185TH ST, HOMEWOOD, IL 60430(708) 903-7689 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Mary Mims NPPES

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

MISS MARY MIMS (NPI 1174989016) is an individual clinical provider in Homewood, Illinois, licensed in Indiana (34006323A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174989016
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS MARY MIMS
Location Address1051 185TH STHomewood, IL 60430-3509
Mailing Address1051 185th StHomewood, IL 60430-3509
Phone(708) 903-7689
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 7, 2016
Last NPPES UpdateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1174989016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IN · 34006323A✔ Licensed in IL · 149022074
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1051 185TH ST, Homewood, IL 60430
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Other Names 1

Professional Name (2)Mary Mims Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Mary Mims is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496178204
PECOS Enrollment IDI20200713002854, I20210712002545
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Mims reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Moon Senior Counseling Of Illinois LLC
33 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1841562931 (855) 241-7160
Bmsc Az LLC
33 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Indiana enrollment
  • 10 clinicians in this Medicare group
NPI 1497201875 (855) 241-7160
Sondermind Provider Network LLC
919 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Indiana enrollment
  • 136 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Sondermind PC
1,839 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois enrollment
  • 106 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Mims's NPI number?

The NPI number for Mary Mims is 1174989016. It was assigned to this individual provider in the NPPES registry on January 7, 2016. The provider is also known as Mary Mims Lcsw.

Where is Mary Mims located?

Mary Mims practices at 1051 185th St, Homewood, IL 60430. The listed phone number is (708) 903-7689.

What is Mary Mims's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Mims enrolled in Medicare?

Yes. Mary Mims is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mims reassigns Medicare benefits to 4 organizations: Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL), Bmsc Az LLC (Plainfield, IL), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Mims accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health and UnitedHealthcare list Mary Mims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mims was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.