Individual provider Active NPI

Shannon M Schneider, LCPC

  • Professional Counselor
  • Champaign, IL
National Provider Identifier
1235587866
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004005 Issued in IL
Practice address
2919 Crossing CT Ste 6a
Champaign, IL 61822-5904
Phone
(217) 637-5172
Fax
(217) 531-2788
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180004005 IL Primary

Addresses

Primary practice location

2919 Crossing CT Ste 6a
Champaign, IL 61822-5904

Mailing address

PO Box 81
Mahomet, IL 61853-0081
Phone (217) 586-1464

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241108003712 IL Practitioner - Mental Health Counselor 5597299826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dulski Counseling, LLCGroup PAC ID 6608362736, 3 clinicians

Practice addresses (Care Compare)

3362 Big Pine TRL
Suite a
Champaign, IL 61822-1409
Phone (217) 383-0151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180004005ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dulski Counseling, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

3362 Big Pine Trl
Ste A
Champaign, IL 61822
Phone (217) 383-0151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1235587866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618530081",
            "telephone_number": "217-586-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 CROSSING CT STE 6A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225904",
            "telephone_number": "217-637-5172",
            "fax_number": "217-531-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.