Organization Active NPI

Shalom Counseling and Consulting LLC

  • Mental Health Counselor
  • Champaign, IL
National Provider Identifier
1104417138
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHALOM COUNSELING AND CONSULTING LLC
Practice address
701 Devonshire Dr Ste 123
Champaign, IL 61820-7337
Phone
(217) 305-1751
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Lashaunna Denise Lesure
Title
Owner LCSW
Phone
(217) 305-1751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

701 Devonshire Dr Ste 123
Champaign, IL 61820-7337

Mailing address

701 Devonshire Dr Ste 123
Champaign, IL 61820-7337
Phone (217) 766-1018

National Provider Directory

National Provider Directory

Locations

701 Devonshire Dr
Ste 123
Champaign, IL 61820
Phone (217) 305-1751

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1104417138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE 123",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-766-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE 123",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-305-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "LESURE",
        "authorized_official_first_name": "LASHAUNNA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER LCSW",
        "authorized_official_telephone_number": "217-305-1751"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.