Shelena Clay

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178013870 Issued in IL

Practice address

19624 Governors Hwy
Flossmoor, IL 60422-2077

Phone

(872) 225-8293

NPI assigned

Sep 27, 2019

Last updated

Apr 22, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1295386480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420795",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303420795",
            "telephone_number": "708-850-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19624 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222077",
            "telephone_number": "872-225-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "SHELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178013870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Chow, M.D.
• May J Chow, M.D.
• Donna Christie, C.R.N.A
• Thomas Tzi-Chorng Chung, MD
• Shane Clausell
• Kenneth N Cline, M.D.
• CLS Comprehensive Services, LLC
• Collabcore
• Melinda A Collins
• Sandra K. Collins, P.T.

• Mental Health Counselor in Flossmoor, IL
• Providers in Flossmoor, 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 Apr 22, 2021; 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.