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LYUBA Z SHUR LCPC
NPI 1922351139
Counselor - Mental Health in Peoria, IL

Active since October 25, 2012PECOS Enrolled
228 NE JEFFERSON AVE, PEORIA, IL 61603(309) 671-8000(309) 671-8039 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lyuba Z Shur Lcpc NPPES

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

LYUBA Z SHUR LCPC (NPI 1922351139) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180.002418) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922351139
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYUBA Z SHURCredential: LCPC
Location Address228 NE JEFFERSON AVEPeoria, IL 61603-3802
Mailing Address228 Ne Jefferson AvePeoria, IL 61603-3802 · (309) 671-8000 · Fax (309) 671-8039
Phone(309) 671-8000
Fax(309) 671-8039
Sole ProprietorNo
Enumeration DateOctober 25, 2012
✔ NPI 1922351139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.002418
228 NE JEFFERSON AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Identifiers 1

Other180.002418IL · Illinois License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyuba Z Shur Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Lyuba Shur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Human Service Center
Same address
Mental Health (Including Community Mental Health Center)
228 NE JEFFERSON
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1881630689 (309) 671-8000
Tazwood Mental Health Center, Inc.
10 mi
Mental Health (Including Community Mental Health Center)
3248 VANDEVER AVE
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1083671127 (309) 347-5522

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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE KENNETH SHOTICK JR. M.D.
Family Medicine
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
KIRA FURKIN APN
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8297
JACQUELINE JONES TOAL
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
NARAYANA REDDY M.D.
Psychiatry & Neurology (Psychiatry)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
DR. CHRISTOPHER MICHAEL GILLETTE PHARM D., BCPP
Pharmacist (Psychiatric)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
JONATHAN WILLIAM MOONEY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
WESTON ROBERT KINSINGER
Counselor
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000
MS. NICOLE MARIE HARRIS MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
228 NE JEFFERSON AVE
PEORIA, IL 61603
Peoria County (309) 671-8000

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 Lyuba Shur's NPI number?

The NPI number for Lyuba Shur is 1922351139. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Lyuba Shur located?

Lyuba Shur practices at 228 NE Jefferson Ave, Peoria, IL 61603. The listed phone number is (309) 671-8000.

What is Lyuba Shur's specialty?

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

Is Lyuba Shur enrolled in Medicare?

Yes. Lyuba Shur is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lyuba Shur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyuba Shur reassigns Medicare benefits to 2 organizations: Human Service Center (Peoria, IL) and Tazwood Mental Health Center, Inc. (Pekin, 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 Lyuba Shur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lyuba Shur was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.