Nisha Shah, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007138 Issued in IL

Practice address

1845 Grandstand PL
Elgin, IL 60123-6603

Phone

(847) 695-0484

Fax

(847) 697-9307

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ecker Center for Behavioral HealthGroup PAC ID 0941252423, 17 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.

• Ecker Center for Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elgin, IL
  • NPI 1982787693
  Medicare reassignment Care Compare group NPD
• Ecker Center for Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Elgin, IL
  • NPI 1427236157
  NPD
• Ecker Center for Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Streamwood, IL
  • NPI 1811175532
  NPD

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780819508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484",
            "fax_number": "847-697-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484",
            "fax_number": "847-697-9307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 SALT CREEK LANE",
            "address_2": "SUITE 114",
            "address_purpose": "LOCATION",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051089",
            "country_code": "US",
            "telephone_number": "847-952-7460",
            "fax_number": "847-222-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007138",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devendra U Shah, M.D
• Dhrulata R Shah, M.D.
• Ketaki Shah, DDS
• Leena Shah, M.D.
• Neal K Shah, M.D.
• Pratik Rajendra Shah, PHARMD
• Purav Shah, DMD
• Radhika Shah
• Rajesh P Shah, MD
• Shivani Nitin Shah, DDS

• Mental Health Counselor in Elgin, IL
• Providers in Elgin, 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 Jun 16, 2018; 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.