Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAWNTRELL MOORE MA LCPC
NPI 1588050611
Counselor - Professional in Chicago, IL

Active since April 15, 2015
401 W ONTARIO ST STE 150, CHICAGO, IL 60654(217) 816-1154 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawntrell Moore Ma Lcpc NPPES

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

SHAWNTRELL MOORE MA LCPC (NPI 1588050611) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.014761) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1588050611
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHAWNTRELL MOORECredential: MA LCPC
Location Address401 W ONTARIO ST STE 150Chicago, IL 60654-6750
Mailing Address401 W Ontario St Ste 150Chicago, IL 60654-6750 · (217) 816-1154
Sole ProprietorYes
Enumeration DateApril 15, 2015
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
NPI 1588050611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.014761
401 W ONTARIO ST STE 150, Chicago, IL 60654

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
401 W ONTARIO ST STE 150
CHICAGO, IL 60654
Clinic/Center (Adult Mental Health)
401 W ONTARIO ST STE 150
CHICAGO, IL 60654
Counselor (Addiction (Substance Use Disorder))
401 W ONTARIO ST STE 150
CHICAGO, IL 60654

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 Shawntrell Moore's NPI number?

The NPI number for Shawntrell Moore is 1588050611. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Shawntrell Moore located?

Shawntrell Moore practices at 401 W Ontario St Ste 150, Chicago, IL 60654. The listed phone number is (217) 816-1154.

What is Shawntrell Moore'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 Shawntrell Moore was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.