Shannon Marie Morrissey, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014130 Issued in IL

Practice address

7420 S County Line Rd Ste 7
Burr Ridge, IL 60527-7947

Phone

(630) 286-9648

NPI assigned

Nov 2, 2019

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iter Counseling, LLC

  • Professional Counselor
  • Burr Ridge, IL
  • NPI 1457990079
  NPD Authorized official

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1477197408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 S COUNTY LINE RD STE 7",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277947",
            "telephone_number": "630-286-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 S COUNTY LINE RD STE 7",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277947",
            "telephone_number": "630-286-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014130",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J. Molis, D.D.S.
• Alicia Ann Moore, MS,OTRL
• Kenneth Lawrence Moore, M.D.
• Andrew Joseph Moormann, D.D.S.
• Morack Inc (Andrew J Moormann DDS)
• Alexandra Morvai
• Mosaic Speech & Language Therapy PLLC
• Jonathan Moss, MD
• Donna J Mulcrone, PT
• Kimberly Mullins, LCSW

• Professional Counselor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.