Shelby Jo Plummer, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3354 N Paulina St Ste 205
Chicago, IL 60657-1087

Phone

(773) 273-9719

NPI assigned

Jun 26, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Tandem Psychology LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1811348485
  NPD (past)

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1164154571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W FOSTER AVE UNIT 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402207",
            "telephone_number": "765-635-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 N PAULINA ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571087",
            "telephone_number": "773-273-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "SHELBY",
        "middle_name": "JO",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.tpg-chicago.com/appointments",
            "affiliation": "N",
            "address_1": "3354 N Paulina St Ste 205",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606571087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Plous, LCSW
• Emily Anne Plucinski, DO
• Plum Creek Chicago, LLC
• Sarah J Plumley, PT
• Richard L Plummer, MD
• Beth Plunkett, MD
• Daniel Plunkett
• Michael J Plunkett, MD
• Plus Dental
• Gabrielle Pluym

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 26, 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.