Paul J Schellenberg, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006527 Issued in IL

Practice address

3915 N Sheridan Rd
Unit R
Peoria, IL 61614-7135

Phone

(309) 681-9432

Fax

(309) 681-9164

NPI assigned

May 22, 2012

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Paul Schellenberg, LLC

  • Professional Counselor
  • Peoria, IL
  • NPI 1407742737
  Medicare reassignment NPD Authorized official
• New Horizons Counseling Services, Inc.

  • Professional Counselor
  • Peoria, IL
  • NPI 1134300403
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1912267154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61603",
            "telephone_number": "309-696-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 N SHERIDAN RD",
            "address_2": "UNIT R",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147135",
            "telephone_number": "309-681-9432",
            "fax_number": "309-681-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLENBERG",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M. Schaffer, ANP
• Kenneth A Schaidle, O.D.
• Ana Cristina Schallhorn, RD LDN CLC
• Sabrina Schell
• Steven K Schell, MD
• Bruce A Schellhammer, PT
• Schelly Chiropractic, Inc
• Laura J Schelly, DC
• Natasha Schertz, LCSW
• Robin Schertz, ANP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.