MR. VISHAL SNEHAL SHAH LPC
NPI 1417569120
Counselor - Professional in Philadelphia, PA
About Mr. Vishal Snehal Shah Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. VISHAL SNEHAL SHAH LPC (NPI 1417569120) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC011275) and active in the NPI registry since August 2020. He has opted out of Medicare through January 27, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Vishal Snehal Shah Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 27, 2025 through January 27, 2027.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19143
PHILADELPHIA, PA 19143
PHILADELPHIA, PA 19143
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 Vishal Shah's NPI number?
The NPI number for Vishal Shah is 1417569120. It was assigned to this individual provider in the NPPES registry on August 24, 2020.
Where is Vishal Shah located?
Vishal Shah practices at 4919 Pentridge St, Philadelphia, PA 19143. The listed phone number is (215) 608-1989.
What is Vishal Shah's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Vishal Shah enrolled in Medicare?
No. Vishal Shah has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Vishal Shah was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Vishal Snehal Shah, LPC · NPI 1417569120
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1417569120 (Entity type: Individual)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC011275 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4919 PENTRIDGE ST, Philadelphia, PA 19143-3320
- **Phone:** (215) 608-1989
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 27, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417569120) · Data from the CMS NPPES public registry.