Shelygan Isaias Keeley, LPC, NCC, CDVP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.011657 Issued in IL

Practice address

1770 Park St
Naperville, IL 60563-4865

Phone

(773) 430-5023

NPI assigned

Jan 24, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453593600000",
    "number": "1548627409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 PARK ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634865",
            "telephone_number": "773-430-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 PARK ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634865",
            "telephone_number": "773-430-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "SHELYGAN",
        "middle_name": "ISAIAS",
        "credential": "LPC, NCC, CDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maizie Keane
• Alina Keegan, LCPC, NCC
• Colleen Ann Keegan, D.O.
• Joseph B. Keegan, PSYD
• Kathryn Keeley, PA-C
• Kelli Keena, LMT
• Cynthia Keene, PSY.D.
• Suzanne W. Keenon, M.A., LPC
• Vanessa Kell Jankowski, LCSW
• Shawna Kelley-Swanson, NCC, LPC

• Mental Health Counselor in Naperville, IL
• Providers in Naperville, 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 Jan 24, 2016; 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.