Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shamara Nicholas

Individual provider Mental Health Counselor · NPI 1225789092

Shamara Nicholas is a Mental Health Counselor in Long Island City, New York. Qualified in 2015, 11 years ago. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

3010 41st Ave
Long Island City, NY 11101-2814
Phone: (201) 500-7693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011313 (NY)

Record details

NPI number1225789092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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