SHAMARA NICHOLAS
NPI 1225789092
Counselor - Mental Health in Long Island City, NY
About Shamara Nicholas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMARA NICHOLAS (NPI 1225789092) is an individual mental health provider in Long Island City, New York, licensed in New York (011313) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shamara Nicholas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shamara Nicholas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Connecticut and New York enrollments
- 613 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11101
LONG ISLAND CITY, NY 11101
LONG ISLAND CITY, NY 11101
LONG ISLAND CITY, NY 11101
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 Shamara Nicholas's NPI number?
The NPI number for Shamara Nicholas is 1225789092. It was assigned to this individual provider in the NPPES registry on January 13, 2022.
Where is Shamara Nicholas located?
Shamara Nicholas practices at 3010 41st Ave, Long Island City, NY 11101. The listed phone number is (201) 500-7693.
What is Shamara Nicholas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shamara Nicholas enrolled in Medicare?
Yes. Shamara Nicholas is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shamara Nicholas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shamara Nicholas reassigns Medicare benefits to 2 organizations: Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). 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 Shamara Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shamara Nicholas accept?
Health plans from Anthem Blue Cross and Blue Shield list Shamara Nicholas 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 Shamara Nicholas was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shamara Nicholas · NPI 1225789092
Mental Health provider in Long Island City, New York. Individual provider, active in the CMS NPPES registry since January 13, 2022.
## Identity
- **NPI:** 1225789092 (Entity type: Individual)
- **Enumerated:** January 13, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 011313 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3010 41ST AVE, Long Island City, NY 11101-2814
- **Phone:** (201) 500-7693
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225789092) · Data from the CMS NPPES public registry.