Shawntrell Moore, MA LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014761 Issued in IL

Practice address

401 W Ontario St Ste 150
Chicago, IL 60654-6750

Phone

(217) 816-1154

NPI assigned

Apr 15, 2015

Sex

Male

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

Credentials

Master of Arts

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1588050611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ONTARIO ST STE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546750",
            "telephone_number": "217-816-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ONTARIO ST STE 150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546750",
            "telephone_number": "217-816-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAWNTRELL",
        "credential": "MA LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nycole Moore
• Patrice Moore
• Paul Moore
• Paula Lynette Moore
• Raven Moore
• Sherelle Moore
• Susan Moore, N.P.
• Tara Moore, APN
• Tashea M Moore, DPT
• Taylor Leyh Moore, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.