Shannon Zofkie

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.015591 Issued in IL

Practice address

3200 Harlem Ave
Riverside, IL 60546-2012

Phone

(630) 728-1744

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

No

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 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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Integrated LLCGroup PAC ID 7911272901, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Grace Integrated, LLC

  • Professional Counselor
  • Westmont, IL
  • NPI 1689026148
  Medicare reassignment Care Compare group NPD
• Grace Integrated PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1134944531
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1164009510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462012",
            "telephone_number": "630-728-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462012",
            "telephone_number": "630-728-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231536",
            "country_code": "US",
            "telephone_number": "630-728-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOFKIE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.015591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Williamson, SSP, NCSP
• Valerie Wodzinski, RN, MS
• Peter Yon
• Barbara Margaret Zabska-Szatkowski, MD
• Yonatan Abbawa Zewdie, MD

• Counselor in Riverside, IL
• Providers in Riverside, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.