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FAYA KACOS-SHIU LCSW
NPI 1194118802
Social Worker - Clinical in Kenosha, WI

Active since March 05, 2015PECOS Enrolled
4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044(262) 649-1977 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2026, Oct 20, 2020 (2 updates tracked since 2020).

About Faya Kacos-shiu Lcsw NPPES

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

FAYA KACOS-SHIU LCSW (NPI 1194118802) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (11502123) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194118802
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFAYA KACOS-SHIUCredential: LCSW
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-0044 · Fax (262) 649-1977
Phone(262) 656-0044
Fax(262) 649-1977
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 5, 2015
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1194118802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11502123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4536 22ND AVE, Kenosha, WI 53140
Open in Google Maps ↗

Secondary Practice Locations 4

Location 16226 14th AveKenosha, WI 53143-4413 · Phone (262) 656-0044
Location 2903 S 2nd StSilver Lake, WI 53170-1747 · Phone (262) 656-0044
Location 34006 Washington RdKenosha, WI 53144-4819 · Phone (262) 656-0044
Location 4930 Dr Martin Luther King DrRacine, WI 53404-3008 · Phone (262) 656-0044

Other Identifiers 2

Medicaid366006600IL
Medicaid100321033WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faya Kacos-shiu Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173884392
PECOS Enrollment IDI20250522003288
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Faya Kacos-shiu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenosha Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
4536 22ND AVE
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1265435960 (262) 656-0044
Counseling Center Of Grayslake Ltd.
20 mi
Clinical
142 HAWLEY ST STE 5
Grayslake, IL 60030
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1194267385 (847) 962-9549
Ganesha Institute Of Neurology And Psychiatry Sc
22 mi
Neurology
1860 W WINCHESTER RD STE 106
Libertyville, IL 60048
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1629478599 (847) 816-6335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
205 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. CESAR D GONZALEZ DDS
Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DIANE E KOSAR
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. HAZEL E MOORE DDS
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. MICHAEL MATTHEW MIHAJLOVIC PSYD
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MANUEL A. RIVERA M.D.
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
CASSANDRA GILLEN LPC
Counselor (Professional)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
KENOSHA COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MELISSA PESTKA
Nurse Practitioner (Family)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044

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 Faya Kacos-shiu's NPI number?

The NPI number for Faya Kacos-shiu is 1194118802. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Where is Faya Kacos-shiu located?

Faya Kacos-shiu practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.

What is Faya Kacos-shiu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Faya Kacos-shiu enrolled in Medicare?

Yes. Faya Kacos-shiu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Faya Kacos-shiu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faya Kacos-shiu reassigns Medicare benefits to 3 organizations: Kenosha Community Health Center, Inc. (Kenosha, WI), Counseling Center Of Grayslake Ltd. (Grayslake, IL) and Ganesha Institute Of Neurology And Psychiatry Sc (Libertyville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faya Kacos-shiu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Faya Kacos-shiu accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Oscar Health and UnitedHealthcare list Faya Kacos-shiu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faya Kacos-shiu was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.