Active NPI
Alyssa Shaw, LPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1194521229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.020551
- Practice address
- 132 W Jefferson Ave Ste 208
Naperville, IL 60540-5007 - Phone
- (331) 267-7927
- Fax
- (312) 971-8554
- NPI assigned
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.020551 | IL | Primary |
Addresses
Primary practice location
132 W Jefferson Ave Ste 208
Naperville, IL 60540-5007
Mailing address
1423 W Belmont Ave Ste 1
Chicago, IL 60657-9479
Phone (312) 508-3645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020551 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1194521229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 W BELMONT AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606579479",
"telephone_number": "312-508-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 W JEFFERSON AVE STE 208",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405007",
"telephone_number": "331-267-7927",
"fax_number": "312-971-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ALYSSA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.020551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.