Nisha Shah

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007138 Issued in IL

Legal business name

NISHA SHAH

Practice address

3309 Wanskuck St
Elgin, IL 60124-4322

Phone

(224) 565-4420

NPI assigned

Jul 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nisha Shah, MS, CRC, LCPC

Title

Therapist

Phone

(224) 565-4420

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1447634837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 WANSKUCK ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244322",
            "telephone_number": "224-565-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 WANSKUCK ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244322",
            "telephone_number": "224-565-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "224-565-4420",
        "authorized_official_credential": "MS, CRC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Elgin, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.