Individual provider Active NPI

Shirley Horsley, LCPC

  • Professional Counselor
  • Algonquin, IL
National Provider Identifier
1497099741
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008258 Issued in IL
Practice address
801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026
Phone
(847) 458-4800
Fax
(630) 332-8151
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180008258 IL
Professional Counselor 101YP2500X 180008258 IL Primary

Addresses

Primary practice location

801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026

Mailing address

801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026
Phone (847) 458-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003116 IL Practitioner - Mental Health Counselor 5698210201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 W Algonquin Rd
Unit 7575
Algonquin, IL 60102-1026
Phone (847) 458-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180008258ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Care for Women Mental Health CurrentSince Feb 17, 2016 Accepting new patients

Locations

121 Madison St
Algonquin, IL 60102
Phone (847) 738-6968

2413 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 333-0033

801 W Algonquin Rd
Unit 7575
Algonquin, IL 60102
Phone (847) 458-4800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1497099741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ALGONQUIN RD UNIT 7575",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021026",
            "telephone_number": "847-458-4800",
            "fax_number": "630-332-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ALGONQUIN RD UNIT 7575",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021026",
            "telephone_number": "847-458-4800",
            "fax_number": "630-332-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "SHIRLEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008258",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.