Individual provider Active NPI

Sha'Boris Hiler, LPC, SAC-IT

  • Professional Counselor
  • Racine, WI
National Provider Identifier
1487120853
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8048-125 Issued in WI
Practice address
1717 Taylor Ave
Racine, WI 53403-2405
Phone
(262) 638-6744
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8048-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17489-130 WI

Addresses

Primary practice location

1717 Taylor Ave
Racine, WI 53403-2405

Mailing address

1717 Taylor Ave
Racine, WI 53403-2405
Phone (262) 638-6744

Other practice location 1

1717 Taylor Ave
Racine, WI 53403-2405
Phone (262) 638-6741 ext. 6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003564 WI Practitioner - Mental Health Counselor 0345693818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine County Finance DepartmentGroup PAC ID 7315857448, 8 clinicians

Practice addresses (Care Compare)

1717 Taylor Ave
Racine, WI 53403-2405
Phone (262) 638-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17489-130WIMDAddiction (Substance Use Disorder) Counselor
8048-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Racine County Finance Department CurrentSince Jan 1, 2024 Accepting new patients

Locations

1717 Taylor Ave
Racine, WI 53403
Phone (262) 638-6635

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1487120853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032405",
            "telephone_number": "262-638-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032405",
            "telephone_number": "262-638-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Taylor Ave",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534032405",
            "country_code": "US",
            "telephone_number": "262-638-6741 x6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILER",
        "first_name": "SHA'BORIS",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8048-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17489-130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.