MELISSA A SHANE LCPC
NPI 1326476482
Counselor in Peoria, IL

Q: What is Melissa Shane's NPI number?

The NPI number for Melissa Shane is 1326476482. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Q: What is Melissa Shane's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Shane was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 28, 2013

3020 W. WILLOW KNOLLS DRIVE, PEORIA, IL 61614(309) 681-5850(309) 681-5658 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melissa A Shane Lcpc NPPES

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

MELISSA A SHANE LCPC (NPI 1326476482) is an individual counselor in Peoria, Illinois, licensed in Illinois (180008837) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1326476482

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMELISSA A SHANECredential: LCPC

Location Address3020 W. WILLOW KNOLLS DRIVEPeoria, IL 61614-1002

Mailing Address3020 W. Willow Knolls DrivePeoria, IL 61614-1002 · (309) 681-5850 · Fax (309) 681-5658

Phone(309) 681-5850

Fax(309) 681-5658

Sole ProprietorNo

Enumeration DateOctober 28, 2013

✔ NPI 1326476482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 180008837

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3020 W. WILLOW KNOLLS DRIVE, Peoria, IL 61614

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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 Melissa Shane's NPI number?

The NPI number for Melissa Shane is 1326476482. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Where is Melissa Shane located?

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

What is Melissa Shane's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Melissa Shane was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.