KATJA AISHA MIMMS LCPC
NPI 1407689631
Counselor - Professional in Chicago, IL

Active since August 22, 2024
300 E RANDOLPH ST FL 4, CHICAGO, IL 60601(312) 653-7645 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katja Aisha Mimms Lcpc NPPES

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

KATJA AISHA MIMMS LCPC (NPI 1407689631) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.011266) and active in the NPI registry since August 2024. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1407689631
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATJA AISHA MIMMSCredential: LCPC
Location Address300 E RANDOLPH ST FL 4Chicago, IL 60601-5099
Mailing Address420 E 45th PlChicago, IL 60653-4110
Sole ProprietorNo
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
NPI 1407689631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.011266
300 E RANDOLPH ST FL 4, Chicago, IL 60601

Secondary Practice Location 1

Location 1420 E 45th PlChicago, IL 60653-4110 · Phone (312) 897-9652

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
300 E RANDOLPH ST FL 4
CHICAGO, IL 60601
Social Worker (Clinical)
300 E RANDOLPH ST FL 4
CHICAGO, IL 60601

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 Katja Mimms's NPI number?

The NPI number for Katja Mimms is 1407689631. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Katja Mimms located?

Katja Mimms practices at 300 E Randolph St Fl 4, Chicago, IL 60601. The listed phone number is (312) 653-7645.

What is Katja Mimms's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Katja Mimms was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.