Individual provider Active NPI

Robin Dana Shannon, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1740650746
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013639 Issued in IL
Practice address
3336 W Lawrence Ave Ste 202
Chicago, IL 60625-6543
Phone
(773) 676-9204
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013639 IL Primary

Addresses

Primary practice location

3336 W Lawrence Ave Ste 202
Chicago, IL 60625-6543

Mailing address

4610 N Clark St # 1057
Chicago, IL 60640-4620
Phone (773) 676-9204

Other practice location 1

600 Davis St Fl 2W4
Evanston, IL 60201-0007
Phone (773) 676-9204

Other identifiers 5

IdentifierTypeStateIssuer
TLC724PCOtherSCREGISTERED TELEHEALTH PROVIDER
TPMC3184OtherFLREGISTERED TELEHEALTH PROVIDER
2025019969OtherMOLICENSED PROFESSIONAL COUNSELOR
39005118AOtherINLICENSED MENTAL HEALTH COUNSELOR
180.013639OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.013639ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Healing Connection, PLLC Professional CurrentSince Nov 1, 2021 Accepting new patients

Locations

4610 N Clark St
Chicago, IL 60640
Phone (312) 278-7628

3336 W Lawrence Ave
Ste 202
Chicago, IL 60625
Phone (312) 585-6002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1740650746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1057",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "773-676-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 W LAWRENCE AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256543",
            "telephone_number": "773-676-9204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Davis St Fl 2W4",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602010007",
            "country_code": "US",
            "telephone_number": "773-676-9204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ROBIN",
        "middle_name": "DANA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED TELEHEALTH PROVIDER",
            "identifier": "TLC724PC",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED TELEHEALTH PROVIDER",
            "identifier": "TPMC3184",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "2025019969",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "39005118A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.013639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.