Active NPI
Sidra Shoaib, LPC
- Professional Counselor
- New Lenox, IL
National Provider Identifier
1750158754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.022701
- Practice address
- 100 Batson CT Ste 206
New Lenox, IL 60451-1565 - Phone
- (815) 409-5940
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.022701 | IL | Primary |
Addresses
Primary practice location
100 Batson CT Ste 206
New Lenox, IL 60451-1565
Mailing address
100 Batson CT Ste 206
New Lenox, IL 60451-1565
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1750158754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BATSON CT STE 206",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BATSON CT STE 206",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511565",
"telephone_number": "815-409-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAIB",
"first_name": "SIDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2026-08-02",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.022701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.