Diane Isabelle Shelton, LMFT, LCPC, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166-000921 Issued in IL

Practice address

21 N Skokie Hwy
Suite 203
Lake Bluff, IL 60044-1777

Phone

(847) 594-7447

Fax

(847) 745-0658

NPI assigned

Mar 22, 2008

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1598936197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GOLF CTR # 388",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694910",
            "telephone_number": "847-594-7447",
            "fax_number": "847-745-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N SKOKIE HWY",
            "address_2": "SUITE 203",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441777",
            "telephone_number": "847-594-7447",
            "fax_number": "847-745-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DIANE",
        "middle_name": "ISABELLE",
        "credential": "LMFT, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006091",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4882",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3552-125",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Sevilla Nieto
• Neil Samir Shah, MD
• Priya Shah
• Jonathan Shapiro, LSW
• Susan E. Sheehan, LCSW
• Lawrence Alan Short, DPM
• Amanda Rose Shulman
• Howard Wayne Siegel
• Michelle R Singapori
• Thomas Joseph Singel II, DO

• Marriage & Family Therapist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.