Individual provider Active NPI

Karen Cathleen Shockley, MS, LCPC

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1578851028
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007053 Issued in IL
Practice address
15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-2914
Phone
(708) 633-9003
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007053 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-2914

Mailing address

15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-2914
Phone (630) 323-3050

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
I20240322001080 IL Practitioner - Mental Health Counselor 6608213939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lodestone Center for Behavioral Health PCGroup PAC ID 6709128317, 27 clinicians

Practice addresses (Care Compare)

15 Spinning Wheel Rd
Suite 426
Hinsdale, IL 60521-7671
Phone (847) 854-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180007053ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lodestone Center for Behavioral Health, PC CurrentSince Jan 27, 2024 Accepting new patients
TMS Psychological Services PC PastSince Sep 1, 2017 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 426
Hinsdale, IL 60521
Phone (630) 323-3050

111 Dean St
Woodstock, IL 60098
Phone (815) 344-5061

Organizations & group practices 2

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1578851028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "address_2": "SUITE 426",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "630-323-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "address_2": "SUITE 426",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "708-633-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "KAREN",
        "middle_name": "CATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.