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MELISSA SHANE COUNSELING SERVICES LLC
NPI 1083125298
Community/Behavioral Health in Peoria, IL

Active since October 14, 2017
6919 N KNOXVILLE AVE STE 100, PEORIA, IL 61614(309) 369-3498(309) 966-0266 Get Directions Write a Review

NPPES record last updated: October 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Shane Counseling Services Llc NPPES

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

MELISSA SHANE COUNSELING SERVICES LLC (NPI 1083125298) is a healthcare organization registered as a community/behavioral health in Peoria, Illinois and active in the NPI registry since October 2017. The organization lists Melissa Ann Shane, Owner, as its authorized official.

NPPES Registry Identity

NPI1083125298
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMELISSA SHANE COUNSELING SERVICES LLC
Location Address6919 N KNOXVILLE AVE STE 100Peoria, IL 61614-2858
Mailing Address6919 N Knoxville Ave Ste 100Peoria, IL 61614-2858 · (309) 369-3498 · Fax (309) 966-0266
Phone(309) 369-3498
Fax(309) 966-0266
Organization SubpartNo
Authorized OfficialMelissa Ann ShaneOwner · (309) 369-3498
Enumeration DateOctober 14, 2017
✔ NPI 1083125298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IL · 180008837
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6919 N KNOXVILLE AVE STE 100, Peoria, IL 61614
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANN MILLINGER LCSW
Social Worker (Clinical)
6919 N KNOXVILLE AVE STE 100
PEORIA, IL 61614
Peoria County (309) 966-0098
HEIDI M VANHEUKLON LCPC
Counselor (Professional)
6919 N KNOXVILLE AVE STE 100
PEORIA, IL 61614
Peoria County (309) 966-0068

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 Melissa Shane Counseling Services LLC's NPI number?

The NPI number for Melissa Shane Counseling Services LLC is 1083125298. It was assigned to this organization in the NPPES registry on October 14, 2017.

Where is Melissa Shane Counseling Services LLC located?

Melissa Shane Counseling Services LLC is located at 6919 N Knoxville Ave Ste 100, Peoria, IL 61614. The listed phone number is (309) 369-3498.

What is Melissa Shane Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Melissa Shane Counseling Services LLC was last updated on October 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.