SHAWN JEFFRY MILLER LPC
NPI 1033989751
Counselor - Professional in Peoria, IL

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment
218 E CHERRY RIDGE RD, PEORIA, IL 61614(309) 253-0216 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Jeffry Miller Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN JEFFRY MILLER LPC (NPI 1033989751) is an individual professional provider in Peoria, Illinois, licensed in Illinois (178018604) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033989751
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHAWN JEFFRY MILLERCredential: LPC
Location Address218 E CHERRY RIDGE RDPeoria, IL 61614-5117
Mailing Address218 E Cherry Ridge RdPeoria, IL 61614-5117 · (309) 253-0216
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
NPI 1033989751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178018604
218 E CHERRY RIDGE RD, Peoria, IL 61614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawn Jeffry Miller Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193246114
PECOS Enrollment IDI20250306002783
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Miller's NPI number?

The NPI number for Shawn Miller is 1033989751. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Shawn Miller located?

Shawn Miller practices at 218 E Cherry Ridge Rd, Peoria, IL 61614. The listed phone number is (309) 253-0216.

What is Shawn Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shawn Miller enrolled in Medicare?

Yes. Shawn Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shawn Miller was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.