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

Shanese Mills

Individual provider Counselor · NPI 1417468562

Shanese Mills is a Mental Health Counselor in Williamsville, New York. Qualified in 2021, 5 years ago. Practices with Erie County South East Corp V, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5959 Main Street Guidance Ste 105
Williamsville, NY 14221-5718
Phone: (716) 626-7265
Fax: (716) 823-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2040 Seneca St, Buffalo, NY 14210-2324 — (716) 828-0560

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011459 (NY)
Counselor Taxonomy 101Y00000X

Record details

NPI number1417468562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Erie County South East Corp V — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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