Charlene Shephard, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008612 Issued in IL

Practice address

756 N Sharon Dr
Woodstock, IL 60098-3054

Phone

(847) 809-6948

NPI assigned

Dec 2, 2016

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Charlene Shephard PLLC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1336089911

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1154864502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N SHARON DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983054",
            "telephone_number": "847-809-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N SHARON DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983054",
            "telephone_number": "847-809-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Senica, APRN, CNP
• Lindsey Marie Serpe
• Niva S Shah, PHARMD
• Shauna Davis Doula LLC
• Sheila Conaire Sheehan, LCSW
• Melissa Shields
• Mobeen A Shirazi, MD
• Shoptikal LLC
• Christopher Shule, DVM
• Taylor Skinner, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.