Neurotherapy Institute, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEUROTHERAPY INSTITUTE, PLLC

Practice address

8420 N Knoxville Ave
Suite C PMB 1043
Peoria, IL 61615

Phone

(309) 202-4417

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Shane G. Young, MA, NCC, LCPCNPI 1194337147

Title

Licensed Clinical Professional Coun

Phone

(309) 202-4177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane G. Young, MA, NCC, LPC

  • Professional Counselor
  • Peoria, IL
  • NPI 1194337147
  NPD Authorized official

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1497556286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 N KNOXVILLE AVE",
            "address_2": "SUITE C PMB 1043",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-202-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 N KNOXVILLE AVE",
            "address_2": "SUITE C PMB 1043",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-202-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTHERAPY INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "309-202-4177",
        "authorized_official_credential": "MA, NCC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro-Counseling PLLC
• Neurological Associates
• Neurology Clinic of Peoria SC
• Neuromed Healthcare PLLC
• Neuropsychology Clinic PC
• Mary Neville, DNP, CPNP-AC
• Whitney Raelene Neville, APN
• New Horizons Counseling Services, Inc.
• New Life Chiropractic of Peoria, LTD.
• Tayla Shyann New-Oglesby, MD

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.