SAMANTHA SHOOP QMHP
NPI 1316603749
Counselor - Mental Health in Pontiac, IL

Active since November 10, 2021
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2024, Nov 10, 2021 (2 updates tracked since 2021).

About Samantha Shoop Qmhp NPPES

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

SAMANTHA SHOOP QMHP (NPI 1316603749) is an individual mental health provider in Pontiac, Illinois and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1316603749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA SHOOPCredential: QMHP
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561
Fax(815) 844-3561
Sole ProprietorNo
Enumeration DateNovember 10, 2021
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1316603749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
920 W CUSTER AVE, Pontiac, IL 61764

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Addiction (Substance Use Disorder))
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764

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 Samantha Shoop's NPI number?

The NPI number for Samantha Shoop is 1316603749. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Samantha Shoop located?

Samantha Shoop practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Samantha Shoop'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 Samantha Shoop was last updated on June 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.