Jigna B Shah, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.014248 Issued in IL

Practice address

854 Technology Way
Libertyville, IL 60048-5350

Phone

(847) 816-7203

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mood Clinical, P. C.Group PAC ID 4981080769, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Village of Niles

  • Community/Behavioral Health Agency
  • Niles, IL
  • NPI 1831302959

  Single Specialty

  NPD (past)
• Glenn Medical Center, LLC

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1639647704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10164 MEADOW LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161557",
            "telephone_number": "619-639-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 TECHNOLOGY WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485350",
            "telephone_number": "847-816-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Civic Center Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607143224",
            "country_code": "US",
            "telephone_number": "847-588-8471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927063570",
            "country_code": "US",
            "telephone_number": "619-639-9370",
            "fax_number": "619-374-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JIGNA",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Sgarbossa, M.S. CCC-SLP
• James Hubert Shackelford, PH.D.
• Brenda Nichols Shafer, LSW
• Murjana Shah-Vonau
• Jai Devendra Shah, M.D., M.B.A., M.P.H.
• Lisa Shah
• Nital Shah
• Parth Himansu Shah, M.D.
• Marina Shakhman, PSY.D.
• Shalom Ex-Import, Inc.

• Mental Health Counselor in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.