EMMA SHACKLETON LCPC
NPI 1396221669
Counselor - Professional in Rockford, IL
About Emma Shackleton Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMA SHACKLETON LCPC (NPI 1396221669) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180.014466) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emma Shackleton Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61107
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 Emma Shackleton's NPI number?
The NPI number for Emma Shackleton is 1396221669. It was assigned to this individual provider in the NPPES registry on July 19, 2018.
Where is Emma Shackleton located?
Emma Shackleton practices at 695 N Perryville Rd Ste 4, Rockford, IL 61107. The listed phone number is (779) 368-0060.
What is Emma Shackleton's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Emma Shackleton enrolled in Medicare?
Yes. Emma Shackleton is registered in the Medicare PECOS enrollment system.
What insurance does Emma Shackleton accept?
Health plans from Medica, MercyCare Health Plans, Providence Health Plan, Quartz and Security Health Plan and 1 other insurer list Emma Shackleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Emma Shackleton was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Emma Shackleton, LCPC · NPI 1396221669
Professional provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since July 19, 2018.
## Identity
- **NPI:** 1396221669 (Entity type: Individual)
- **Enumerated:** July 19, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.014466 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 695 N PERRYVILLE RD STE 4, Rockford, IL 61107-6225
- **Phone:** (779) 368-0060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** May 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396221669) · Data from the CMS NPPES public registry.