SHANE G. YOUNG MA, NCC, LPC
NPI 1194337147
Counselor - Professional in Peoria, IL

Active since August 20, 2020
3020 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 681-5850 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane G. Young Ma, Ncc, Lpc NPPES

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

SHANE G. YOUNG MA, NCC, LPC (NPI 1194337147) is an individual professional provider in Peoria, Illinois, licensed in Illinois (178015348) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1194337147
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHANE G. YOUNGCredential: MA, NCC, LPC
Location Address3020 W WILLOW KNOLLS DRPeoria, IL 61614-8127
Mailing AddressPo Box 335Glasford, IL 61533-0335 · (309) 202-4417
Sole ProprietorYes
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
NPI 1194337147 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 · 178015348
3020 W WILLOW KNOLLS DR, Peoria, IL 61614

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Counselor (Mental Health)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Counselor (Mental Health)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Marriage & Family Therapist
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Social Worker
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614

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 Shane Young's NPI number?

The NPI number for Shane Young is 1194337147. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Shane Young located?

Shane Young practices at 3020 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 681-5850.

What is Shane Young's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Young was last updated on August 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.