Jessie Shanks, LMHC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

PO Box 1351
Pekin, IL 61555-1351

Phone

(309) 322-2900

Fax

(309) 322-2901

NPI assigned

Oct 17, 2017

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Sep 2, 2025 through Sep 2, 2027

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.

• Jessie Shanks Counseling, Inc.

  • Mental Health Counselor
  • Pekin, IL
  • NPI 1013742519
  NPD Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1881105807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1351",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615551351",
            "telephone_number": "309-322-2900",
            "fax_number": "309-322-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1351",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615551351",
            "telephone_number": "309-322-2900",
            "fax_number": "309-322-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "JESSIE",
        "credential": "LMHC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Kay Scott, LSW
• Angela Serbin
• Page V Settles, MD
• Huma Shamim, MD
• Melissa Shane
• Amanda Sharp-Potter
• Cory M Sharp, PA-C
• Timothy Dane Shelley, O.D.
• Alison Sherren, AU.D., CCC-A
• Cindy Ann Sidell, DSP RSA CNA

• Mental Health Counselor in Pekin, IL
• Providers in Pekin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.