DE'SHACE SHORT
NPI 1386429686
Counselor - Professional in Rockford, IL

Q: What is De'shace Short's NPI number?

The NPI number for De'shace Short is 1386429686. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Q: What is De'shace Short's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for De'shace Short was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 28, 2023

5758 ELAINE DR STE 112, ROCKFORD, IL 61108(815) 975-1177 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About De'shace Short NPPES

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

DE'SHACE SHORT (NPI 1386429686) is an individual professional provider in Rockford, Illinois and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1386429686

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDE'SHACE SHORT

Location Address5758 ELAINE DR STE 112Rockford, IL 61108-3102

Mailing Address9840 S Genoa AveChicago, IL 60643-1537 · (773) 253-1546

Phone(815) 975-1177

Sole ProprietorYes

Enumeration DateAugust 28, 2023

NPPES CertifiedAugust 26, 2023

✔ NPI 1386429686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

5758 ELAINE DR STE 112, Rockford, IL 61108

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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.

MEGAN ALBERTO, LCPC, LLC

Counselor (Professional)

5758 ELAINE DR STE 112
ROCKFORD, IL 61108

Winnebago County (815) 975-1177

MRS. MEGAN DIANE GROOMS ALBERTO LCPC

Counselor (Mental Health)

5758 ELAINE DR STE 112
ROCKFORD, IL 61108

Winnebago County (815) 975-1177

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 De'shace Short's NPI number?

The NPI number for De'shace Short is 1386429686. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is De'shace Short located?

De'shace Short practices at 5758 Elaine Dr Ste 112, Rockford, IL 61108. The listed phone number is (815) 975-1177.

What is De'shace Short'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 De'shace Short was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.