Individual provider Active NPI

Shawna Kelley-Swanson, NCC, LPC

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1952836454
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178009678 Issued in IL
Practice address
1607 N Aurora Rd
Suite 204
Naperville, IL 60563-2784
Phone
(630) 772-9209
NPI assigned
Apr 22, 2017
Last updated
Apr 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178009678 IL Primary

Addresses

Primary practice location

1607 N Aurora Rd
Suite 204
Naperville, IL 60563-2784

Mailing address

135 Rieser Cir
Naperville, IL 60565-2033
Phone (630) 983-0699

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
178009678ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1952836454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RIESER CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652033",
            "telephone_number": "630-983-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 N AURORA RD",
            "address_2": "SUITE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632784",
            "telephone_number": "630-772-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-SWANSON",
        "first_name": "SHAWNA",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178009678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.