Shannon J Nice

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

901 N 1St St Ste 225
Springfield, IL 62702-3760

Phone

(217) 788-4065

Fax

(217) 788-4147

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon J Crosby Crerand Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannonnice@memorial.allscriptsdirect.net

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.

• Memorial Health Partners

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1376034744
  NPD
• Mental Health Centers of Central Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, IL
  • NPI 1225008113
  NPD
• Mental Health Centers of Central Illinois

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1750614798
  NPD

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1407642846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST STE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023760",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 1ST ST STE 225",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023760",
            "telephone_number": "217-788-4065",
            "fax_number": "217-788-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICE",
        "first_name": "SHANNON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CROSBY CRERAND",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryce Barclay Ralls Newton, ATC
• Kenneth E Newton, RBT
• Hong K Nguyen, PHARMD
• Tracy T Nguyen, CRNA
• Zurain Niaz, MD
• Jennifer Ruth Nichelson, F.N.P.
• Rachell Nichols Anderson, PSY.D.
• Victoria R Nichols-Johnson, M.D.
• Nancy J. Nichols, LCSW
• Phyllis J Nichols, RN

• Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.