SHAMARA NICHOLAS
NPI 1225789092
Counselor - Mental Health in Long Island City, NY

Q: 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.

Q: What is Shamara Nicholas's specialty?

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

Q: 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 3 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.

Active since January 13, 2022PECOS Enrolled

3010 41ST AVE, LONG ISLAND CITY, NY 11101(201) 500-7693 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Jan 13, 2022 (2 updates tracked since 2022).

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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

NPI1225789092

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAMARA NICHOLAS

Location Address3010 41ST AVELong Island City, NY 11101-2814

Mailing Address4348 Ely AveBronx, NY 10466-1816 · (201) 500-7693

Phone(201) 500-7693

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 13, 2022

Last NPPES UpdateApril 16, 20262 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1225789092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 011313

3010 41ST AVE, Long Island City, NY 11101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamara Nicholas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133602782

PECOS Enrollment IDI20260507000835

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.

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.

KARAT HEALTH, INC.

Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)