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MISS KISHEANA SHAW M.S.
NPI 1265892673
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since February 26, 2016PECOS Enrolled
804 E 138TH ST, BRONX, NY 10454(718) 665-7500(718) 665-4768 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Kisheana Shaw M.s. NPPES

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

MISS KISHEANA SHAW M.S. (NPI 1265892673) is an individual addiction (substance use disorder) provider in Bronx, New York and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265892673
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS KISHEANA SHAWCredential: M.S.
Location Address804 E 138TH STBronx, NY 10454-1902
Mailing Address804 E 138th StBronx, NY 10454-1902 · (718) 665-7500 · Fax (718) 665-4768
Phone(718) 665-7500
Fax(718) 665-4768
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 26, 2016
✔ NPI 1265892673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
804 E 138TH ST, Bronx, NY 10454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kisheana Shaw M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860959863
PECOS Enrollment IDI20260810003196
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 Reassignment

Medicare enrollment records show Kisheana Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
14 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

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

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.

CHRISTINE ELIANA FERRERAS LPN
Licensed Practical Nurse
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
MISS SHERYL M DESMOULINS RN
Registered Nurse (Addiction (Substance Use Disorder))
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
RENE ROBERTS
Counselor (Addiction (Substance Use Disorder))
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
AMIRA SAID ABORAS
Counselor (Mental Health)
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 292-2401
MS. ZENOBIA M COLON
Technician, Pathology (Phlebotomy)
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
DENNIS FARRELL CASAC
Counselor (Addiction (Substance Use Disorder))
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
SHEILA ANN CARTER MPA, CASACT
Counselor (Addiction (Substance Use Disorder))
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 665-7500
JAH-SEE MARTIN
Counselor (Addiction (Substance Use Disorder))
804 E 138TH ST
BRONX, NY 10454
Bronx County (718) 292-2401

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 Kisheana Shaw's NPI number?

The NPI number for Kisheana Shaw is 1265892673. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Kisheana Shaw located?

Kisheana Shaw practices at 804 E 138th St, Bronx, NY 10454. The listed phone number is (718) 665-7500.

What is Kisheana Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kisheana Shaw enrolled in Medicare?

Yes. Kisheana Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kisheana Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisheana Shaw reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). The 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 Kisheana Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kisheana Shaw accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Health list Kisheana Shaw 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 Kisheana Shaw was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.