Renee Shurilla, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.009754 Issued in IL

Practice address

1448 N Milwaukee Ave Ste 201
Chicago, IL 60622-9225

Phone

(312) 476-9064

NPI assigned

Apr 25, 2019

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

National Mental Health Management, LLCGroup PAC ID 4688005481, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renee.shurilla.1@21279.direct.athenahealth.com

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.

• National Mental Health Management, LLC

  • Addiction Psychiatry Physician
  • Wheat Ridge, CO
  • NPI 1306472568
  Medicare reassignment Care Compare group NPD
• Life Endeavors Therapy PLLC

  • Community/Behavioral Health Agency
  • Naperville, IL
  • NPI 1568158715
  NPD (past)
• Willis Healthcare Inc

  • In Home Supportive Care Agency
  • Chicago, IL
  • NPI 1063157527
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1518521459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "312-476-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101237",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1754 N Washington St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631462",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "630-839-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURILLA",
        "first_name": "RENEE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Shuman, PHARM.D.
• Valery M Shuman, LCPC
• Corey Wendell Shumate, APN, PMHNP-BC
• Jackleen G Shumeil, PMHNP
• Shuree Home Healthcare, Inc.
• Steven Joseph Shust, D.D.S.
• Daniel Shuter, MSW
• Leonid Shvartsman, M.D.
• Marina Shvartsman, M.D.
• Yuri Shvartsman, M.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.