Shenandoah Cardwell, MA, NCC, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NCC CERT # 22818 Issued in NU

Practice address

34930 N US Highway 45
Suite 101
Lake Villa, IL 60046-7537

Phone

(847) 543-7755

Fax

(847) 543-7759

NPI assigned

Aug 31, 2006

Last updated

Sep 11, 2025By 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 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Shenandoah Cardwell Constantino Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710098611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34930 N US HIGHWAY 45",
            "address_2": "SUITE 101",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467537",
            "telephone_number": "847-543-7755",
            "fax_number": "847-543-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34930 N US HIGHWAY 45",
            "address_2": "SUITE 101",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467537",
            "telephone_number": "847-543-7755",
            "fax_number": "847-543-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "SHENANDOAH",
        "name_prefix": "Ms.",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "NCC CERT # 22818",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2906-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER #",
            "identifier": "169887",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENANDOAH",
            "last_name": "CONSTANTINO",
            "middle_name": "CARDWELL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blending Families, Inc.
• Eric Born, SCHOOL PSYCHOLOGIST
• Leah Burnett, M.S. CCC-SLP
• Meghan Elizabeth Busky, MS, RDN
• Rebecca Cain, OT
• Amanda Carlson, MS, LPC, NCC
• Izreal Cary, CCC-SLP
• Jacqueline Castillo, LPC
• Patricia Cerenil
• Children's Speech Services, PLLC

• Counselor in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.