NISHA SHAH LCPC
NPI 1780819508
Counselor - Mental Health in Elgin, IL

Q: What is Nisha Shah's NPI number?

The NPI number for Nisha Shah is 1780819508. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Q: What is Nisha Shah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Shah was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 22, 2009PECOS EnrolledAccepts Medicare Assignment

1845 GRANDSTAND PL, ELGIN, IL 60123(847) 695-0484(847) 697-9307 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Nov 1, 2017 (3 updates tracked since 2017).

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About Nisha Shah Lcpc NPPES

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

NISHA SHAH LCPC (NPI 1780819508) is an individual mental health provider in Elgin, Illinois, licensed in Illinois (180.007138) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1780819508

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNISHA SHAHCredential: LCPC

Location Address1845 GRANDSTAND PLElgin, IL 60123-6603

Mailing Address1845 Grandstand PlElgin, IL 60123-6603 · (847) 695-0484 · Fax (847) 697-9307

Phone(847) 695-0484

Fax(847) 697-9307

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 22, 2009

Last NPPES UpdateJune 16, 20183 updates tracked since enumeration

✔ NPI 1780819508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.007138

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.007138 (IL)

1845 GRANDSTAND PL, Elgin, IL 60123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nisha Shah Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830634088

PECOS Enrollment IDI20240711002171

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.

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.

HALEY ELIZABETH VON HOLST

Community Health Worker