MR. KEVIN LEE MIMMS (NPI# 1962901108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962901108 |
| Entity Type | Individual |
| Full Name | MR. KEVIN LEE MIMMS |
| Credential | MS, LMFT ASSOCIATE |
| Practice Address |
8641 5th St Ste W6 Frisco TX 75034-4290 |
| Mailing Address |
8440 Willow Creek Dr Frisco TX 75034-5525 |
| Practice Telephone | 9727411038 |
| Mailing Telephone | 9727411038 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
202849 | TX | Behavioral Health & Social Service Providers |
| Street Address |
8641 5TH ST STE W6 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435777 | Larry Michael Barber | Counselor | 8641 5th St Ste W6, Frisco, TX 75034-4290 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864913 | Elizabeth Anne Sheaffer | Counselor | 101 W Main St Ste 101, Frisco, CO 80443-5513 | 2020-09-02 |
| 1699337030 | Stacie Marie Martin | Counselor | 8668 John Hickman Pkwy Ste 303, Frisco, TX 75034-8181 | 2019-07-06 |
| 1841850302 | Mary Jane Rossi-burns | Counselor | 8641 5th St Unit W2, Frisco, TX 75034-4290 | 2019-06-17 |
| 1851956585 | Victor U Ukwedeh | Counselor | 11617 Lake Front Dr, Frisco, TX 75036-7693 | 2019-05-08 |
| 1104383405 | Shantee L Mayfield | Counselor | 1750 Fm 423 Apt 821, Frisco, TX 75033-0524 | 2019-02-23 |
| 1952876161 | Hannah Mcwhorter Olszewski | Counselor | 409 E Main St Suite 220 H, Frisco, CO 80443 | 2018-10-04 |
| 1568973220 | Baird Counseling | Counselor | 10644 Bartlett Dr, Frisco, TX 75035-8805 | 2017-10-19 |
| 1033644315 | Monika Morf Dickins | Counselor | 8241 Willow Creek Dr, Frisco, TX 75034-5522 | 2017-04-25 |
| 1700338134 | Lori Kennedy | Counselor | 7242 Main St, Frisco, TX 75033-5359 | 2016-11-02 |
| 1548682461 | Key Behavior Essentials LLC | Counselor | 6744 Branch Trl, Frisco, TX 75035-6838 | 2014-01-12 |
| Find all providers in FRISCO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.