Shayne Adams, MA, LCPC
Individual provider Active NPI Professional Counselor · Evanston, IL
NPI 1952889487 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1952889487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180011317 (IL)
- Practice address
- 824 Forest Ave Apt D2
Evanston, IL 60202-2420 - Phone
- (323) 327-7500
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180011317 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoplepsych, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180011317 | IL | Yes |
Addresses
Primary practice location
824 Forest Ave Apt D2
Evanston, IL 60202-2420
Mailing address
824 Forest Ave Apt D2
Evanston, IL 60202-2420
Phone (323) 327-7500
Other providers in Evanston, IL
- Jehan-Marie Adamji
- Adrienne L. Adams
- Cherie Monique Adams
- Mary Abby Adams
- Megan Mazak Adams
- Laura Kathleen Addy
- Modupe Olayinka Adefeso
- Adele Maday Physical Therapy
- Vanessa Obenewa Adu
- Advanced Hearing and Balance Center, LLC
All providers in Evanston, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.