Kshep Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KSHEP COUNSELING PLLC

Practice address

206 N Randolph St Ste 412
Champaign, IL 61820-3978

Phone

(815) 317-6501

NPI assigned

Sep 29, 2025

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Shepherd, LCSWNPI 1962872739

Title

Therapist, Owner

Phone

(815) 317-6501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Shepherd, LCSW

  • Clinical Social Worker
  • Urbana, IL
  • NPI 1962872739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1205709938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 412",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "815-317-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 412",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "815-317-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSHEP COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "815-317-6501",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangella V. Krishnarao, M.D.
• Julieann Krogel, PH.D.
• Devon Kruse-Wu
• Michaela Ann Kruse, MA, RD, LD
• Allison T Krutul, PSYD
• Mary Kubalanza
• Carlene Marie Kudrick
• Marcy Kujawski, MSW, LCSW
• Surina Kumar
• Komal Kumaran, RBT

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.