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SHANESE NICOLE MIMS
NPI 1629820212
Counselor in Springfield, MA

Active since April 05, 2024
417 LIBERTY ST, SPRINGFIELD, MA 01104(413) 747-0705(413) 732-7075 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanese Nicole Mims NPPES

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

SHANESE NICOLE MIMS (NPI 1629820212) is an individual counselor in Springfield, Massachusetts and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1629820212
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANESE NICOLE MIMS
Location Address417 LIBERTY STSpringfield, MA 01104-3736
Mailing Address417 Liberty StSpringfield, MA 01104-3736 · (413) 747-0705 · Fax (413) 732-7075
Phone(413) 747-0705
Fax(413) 732-7075
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1629820212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
417 LIBERTY ST, Springfield, MA 01104
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Other Providers at the Same Location NPPES 20

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

MEGHAN FRIEDMAN
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 736-3668
KAREN ROSS
Registered Nurse
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 747-0705
EVELYN SUAREZ
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 747-0705
KIANA JUSTINE-IVETTE FRANQUI
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
ELIZABETH JOY MAY
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
PATRICK LANDRY
Counselor (Addiction (Substance Use Disorder))
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 301-9406
KRISTIN NICOLE CIANCIOLO
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (413) 733-6661
CASSANDRA NAVA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
417 LIBERTY ST
SPRINGFIELD, MA 01104
Hampden County (774) 551-6602

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 Shanese Mims's NPI number?

The NPI number for Shanese Mims is 1629820212. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Shanese Mims located?

Shanese Mims practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 747-0705.

What is Shanese Mims's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shanese Mims was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.