CANDICE JEAN SHIGEMOTO
NPI 1396094306
Counselor - Mental Health in Henderson, NV

Q: What is Candice Shigemoto's NPI number?

The NPI number for Candice Shigemoto is 1396094306. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Q: What is Candice Shigemoto'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 Candice Shigemoto was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 05, 2012PECOS Enrolled

2723 WOODBINE AVE, HENDERSON, NV 89074(702) 736-8100 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Candice Jean Shigemoto NPPES

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

CANDICE JEAN SHIGEMOTO (NPI 1396094306) is an individual mental health provider in Henderson, Nevada and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396094306

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCANDICE JEAN SHIGEMOTO

Location Address2723 WOODBINE AVEHenderson, NV 89074-1241

Mailing Address2723 Woodbine AveHenderson, NV 89074-1241

Phone(702) 736-8100

Sole ProprietorNo

Enumeration DateSeptember 5, 2012

Last NPPES UpdateApril 5, 2016

✔ NPI 1396094306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2723 WOODBINE AVE, Henderson, NV 89074

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Jean Shigemoto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Candice Shigemoto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urban Healthy Minds, LLC

4.6 mi

Community/Behavioral Health

11500 S EASTERN AVE STE 150
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
7 clinicians in this Medicare group

NPI 1750960043 (702) 540-7671

Quality Health Center, LLC

8.9 mi

Multi-Specialty

501 S RANCHO DR STE F38
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
3 clinicians in this Medicare group

NPI 1184247496 (702) 992-3439

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

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 Candice Shigemoto's NPI number?

The NPI number for Candice Shigemoto is 1396094306. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Candice Shigemoto located?

Candice Shigemoto practices at 2723 Woodbine Ave, Henderson, NV 89074. The listed phone number is (702) 736-8100.

What is Candice Shigemoto's specialty?

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

Is Candice Shigemoto enrolled in Medicare?

Yes. Candice Shigemoto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Candice Shigemoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Shigemoto reassigns Medicare benefits to 2 organizations: Urban Healthy Minds, LLC (Henderson, NV) and Quality Health Center, LLC (Las Vegas, NV). 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 Candice Shigemoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candice Shigemoto accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Candice Shigemoto 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 Candice Shigemoto was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.