Organization Active NPI

Shae Ellington Counseling

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1699622100
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHAE ELLINGTON COUNSELING
Practice address
1620 W Park Ave
Champaign, IL 61821-3043
Phone
(217) 281-1754
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Authorized official

Name
Valerie Shae Ellington, LCSWNPI 1629130505
Title
LCSW
Phone
(217) 281-1754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1620 W Park Ave
Champaign, IL 61821-3043

Mailing address

1620 W Park Ave
Champaign, IL 61821-3043
Phone (217) 281-1754

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1699622100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W PARK AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213043",
            "telephone_number": "217-281-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W PARK AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213043",
            "telephone_number": "217-281-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAE ELLINGTON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "217-281-1754",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.