JASMINE CHASTITY MIMS
NPI 1205425782
Counselor - Professional in Moreno Valley, CA
About Jasmine Chastity Mims NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE CHASTITY MIMS (NPI 1205425782) is an individual professional provider in Moreno Valley, California, licensed in California (21581) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jasmine Chastity Mims is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jasmine Mims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moreno Valley, CA 92553
- Reassigned Medicare billing, California enrollment
San Rafael, CA 94903
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORENO VALLEY, CA 92553
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 Jasmine Mims's NPI number?
The NPI number for Jasmine Mims is 1205425782. It was assigned to this individual provider in the NPPES registry on January 11, 2021.
Where is Jasmine Mims located?
Jasmine Mims practices at 24904 Lear Ln, Moreno Valley, CA 92553. The listed phone number is (661) 742-4026.
What is Jasmine Mims's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jasmine Mims enrolled in Medicare?
Yes. Jasmine Mims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jasmine Mims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Mims reassigns Medicare benefits to 2 organizations: New Legacy Behavioral Health Professional Clinical Counselor Inc (Moreno Valley, CA) and Clarity-James Medical Services Corp (San Rafael, 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 Jasmine Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jasmine Mims was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Jasmine Chastity Mims · NPI 1205425782
Professional provider in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since January 11, 2021.
## Identity
- **NPI:** 1205425782 (Entity type: Individual)
- **Enumerated:** January 11, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 21581 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 24904 LEAR LN, Moreno Valley, CA 92553-5875
- **Phone:** (661) 742-4026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New Legacy Behavioral Health Professional Clinical Counselor Inc (NPI 1336004746, Moreno Valley, CA); Clarity-James Medical Services Corp (NPI 1972192953, San Rafael, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205425782) · Data from the CMS NPPES public registry.