Tiffany I Clash-Shaw

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1325 Sycamore Rd
Dekalb, IL 60115-2483

Phone

(815) 758-8616

NPI assigned

Sep 3, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Family Service Agency of Dekalb County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dekalb, IL
  • NPI 1184154007
  NPD
• Family Service Agency of Dekalb County, Inc.

  • Clinic/Center
  • Dekalb, IL
  • NPI 1598820300
  NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1699655407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRANT DR N # D1301",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152483",
            "telephone_number": "815-758-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASH-SHAW",
        "first_name": "TIFFANY",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikechukwu I Chineme
• Jerry Allan Christensen, D.C.
• Kristin M Christian, P.T.
• Stacy J Circelli, APRN, CNP
• City of Dekalb
• Brandon T Clement, P.T.
• Michelle L Cofoid, RBT
• Samantha Collin
• Trenaye Collins
• Community Cares Clinic

• All providers in Dekalb, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.