Sheldon Gerrard Aaron, LPC
Individual provider Active NPI Professional Counselor · Champaign, IL
NPI 1437635752 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1437635752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.014074 (IL)
- Practice address
- 201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385 - Phone
- (217) 722-9079
- Fax
- (217) 501-4322
- NPI assigned
- Jul 19, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014074 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendrick Counseling, PLLC | Past | Accepting new patients | |
| McNicholl Counseling, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.014074 | IL | Yes |
Addresses
Primary practice location
201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Mailing address
201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone (217) 722-9079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178.014074 | Other | IL | PROFESSIONAL LICENSE |
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All providers in Champaign, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.