Shannon Marie Cagle, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.017257 Issued in IL

Practice address

605 Lowden Ave
Glen Ellyn, IL 60137-6318

Phone

(731) 446-1520

NPI assigned

Feb 23, 2019

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

Practice roles

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.

• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Libertyville, IL
  • NPI 1629478599

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1669939963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LOWDEN AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376318",
            "telephone_number": "731-446-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LOWDEN AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376318",
            "telephone_number": "731-446-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.017257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A. Burba, AU.D.
• Burkly Clinical Services, PLLC
• Andrea Burkly, LCPC
• Mary Beth Bush, PT
• Kathryn Nicole Caccamo
• Yazmin Camarena, M.S.
• Jacquelyn Cameli, PT, DPT
• Robert K Campbell, D.O.
• Mary Lynn Cankar
• Daniel Cano, DC

• Mental Health Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Feb 22, 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.