Renee A Shea, LMFT, CADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000977 Issued in IL

Practice address

477 E Butterfield Rd Ste 310-5
Lombard, IL 60148-5618

Phone

(630) 426-9279

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Redefining Hope Clinical Counseling Service PLLC

  • Mental Health Counselor
  • Lombard, IL
  • NPI 1780337444

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1376924696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 310-5",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-426-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 310-5",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-426-9279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E 22nd St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601486118",
            "country_code": "US",
            "telephone_number": "630-426-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "LMFT, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30982",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Harlan Shapiro, PH.D.
• Neha Sharma
• Tripty Sharma, D.D.S.
• Sharon Szeszycki DDS & Michael a Cerone DDS LTD
• Mahfouza Mustafa Shatat
• Shaheen Shedbalker
• Katrina Shelby
• Jialu Shen
• Sandra Jo Shepard, LCSW
• Edward Sherman, MD

• Marriage & Family Therapist in Lombard, IL
• Providers in Lombard, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.