Shannon Jo Erdmann, MA, LPC, BA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178017184 Issued in IL

Practice address

4700 N Prospect Rd Ste A2D
Peoria Heights, IL 61616-6473

Phone

(309) 258-8851

NPI assigned

Jan 31, 2022

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

Other names 1

• Ms. Shannon Jo Morrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

State licenses

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.

• Hope Counseling & Therapy Services, LCPC

  • Professional Counselor
  • Peoria Heights, IL
  • NPI 1932799665
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1720731649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W CHRISTINE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145809",
            "telephone_number": "309-258-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD STE A2D",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166473",
            "telephone_number": "309-258-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMANN",
        "first_name": "SHANNON",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MORRISON",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clove Dental PLLC
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• Amanda M Crusen, LCSW
• Stephen C Doughty, MD
• Mary Ann Eichorn
• Aletha Frei
• Lisa Friebohle
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• Goldwater Care Peoria Heights LLC
• Giana Goudie

• Professional Counselor in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.