Active NPI
Shannon M. Duffy, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1891140943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010059
- Practice address
- 300 W Adams St Ste 514
Chicago, IL 60606-5108 - Phone
- (312) 578-9990
- NPI assigned
- Apr 26, 2016
- 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 | 180.010059 | IL | Primary |
Addresses
Primary practice location
300 W Adams St Ste 514
Chicago, IL 60606-5108
Mailing address
801 S Financial PL Apt 705
Chicago, IL 60605-1789
Phone (312) 523-1356
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | QDPM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010059 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1891140943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S FINANCIAL PL APT 705",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606051789",
"telephone_number": "312-523-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W ADAMS ST STE 514",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606065108",
"telephone_number": "312-578-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "SHANNON",
"middle_name": "M.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010059",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "QDPM",
"affiliation": "N",
"endpointDescription": "Electronic Medical Records",
"address_1": "300 W Adams St Ste 514",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606065108",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.