SHAWNA MARIE WALLER LCPC
NPI 1225991128
Counselor - Mental Health in Champaign, IL

Q: What is Shawna Waller's NPI number?

The NPI number for Shawna Waller is 1225991128. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Q: What is Shawna Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shawna Waller was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since December 08, 2025

2004 FOX DR STE E, CHAMPAIGN, IL 61820(217) 398-8067 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shawna Marie Waller Lcpc NPPES

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

SHAWNA MARIE WALLER LCPC (NPI 1225991128) is an individual mental health provider in Champaign, Illinois, licensed in Illinois (180011291) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1225991128

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHAWNA MARIE WALLERCredential: LCPC

Location Address2004 FOX DR STE EChampaign, IL 61820-7357

Mailing Address2004 Fox Dr Ste EChampaign, IL 61820-7357 · (217) 398-8067

Phone(217) 398-8067

Sole ProprietorNo

Enumeration DateDecember 8, 2025

NPPES CertifiedDecember 7, 2025

✔ NPI 1225991128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180011291

2004 FOX DR STE E, Champaign, IL 61820

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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 Shawna Waller's NPI number?

The NPI number for Shawna Waller is 1225991128. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Shawna Waller located?

Shawna Waller practices at 2004 Fox Dr Ste E, Champaign, IL 61820. The listed phone number is (217) 398-8067.

What is Shawna Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shawna Waller was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.