Shawn Wunderlich, PHD, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3420 Lacrosse LN Ste 107
Naperville, IL 60564-8279

Phone

(630) 447-0238

NPI assigned

Sep 19, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Rewired Therapy PLLC

  • Professional Counselor
  • Naperville, IL
  • NPI 1275393993
  NPD Authorized official
• Oswego Wellness, Inc

  • Community/Behavioral Health Agency
  • Oswego, IL
  • NPI 1912373069
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104548866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 LACROSSE LN STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 LACROSSE LN STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648279",
            "telephone_number": "630-447-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15003 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442730",
            "country_code": "US",
            "telephone_number": "630-519-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "SHAWN",
        "credential": "PHD, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xuemei Wu, D.C.
• Paul Ryan Wucka, D.O.
• Nicole Wuerl, LCPC
• Alyssa Wunderlich
• John Michael Wunderlich, APN-CNP
• Amanda Kay Wurst, LCSW
• Timothy Robert Wysozan, MD
• Xilin Association
• Heng Xu
• Gretchen Xue

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.