SHANNON NAKEAYVA MINES LPC
NPI 1962966010
Counselor - Professional in North Dinwiddie, VA

Q: What is Shannon Mines's NPI number?

The NPI number for Shannon Mines is 1962966010. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Q: What is Shannon Mines's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Mines was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 23, 2019PECOS Enrolled

23331 DABNEY MILL RD, NORTH DINWIDDIE, VA 23803(804) 837-0630(804) 469-4944 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Nakeayva Mines Lpc NPPES

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

SHANNON NAKEAYVA MINES LPC (NPI 1962966010) is an individual professional provider in North Dinwiddie, Virginia, licensed in Virginia (0701008071.) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962966010

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHANNON NAKEAYVA MINESCredential: LPC

Location Address23331 DABNEY MILL RDNorth Dinwiddie, VA 23803-9101

Mailing Address23331 Dabney Mill RdNorth Dinwiddie, VA 23803-9101 · (804) 837-0630 · Fax (804) 469-4944

Phone(804) 837-0630

Fax(804) 469-4944

Sole ProprietorYes

Enumeration DateJanuary 23, 2019

✔ NPI 1962966010 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 VA · 0701008071.

23331 DABNEY MILL RD, North Dinwiddie, VA 23803

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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)

Shannon Nakeayva Mines Lpc 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.

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 Shannon Mines's NPI number?

The NPI number for Shannon Mines is 1962966010. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Shannon Mines located?

Shannon Mines practices at 23331 Dabney Mill Rd, North Dinwiddie, VA 23803. The listed phone number is (804) 837-0630.

What is Shannon Mines's specialty?

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

Is Shannon Mines enrolled in Medicare?

Yes. Shannon Mines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Mines was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.