MELISSA SHANE
NPI 1639753676
Counselor - Mental Health in Pekin, IL

Active since May 06, 2021
3248 VANDEVER AVE, PEKIN, IL 61554(309) 347-5579 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Shane NPPES

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

MELISSA SHANE (NPI 1639753676) is an individual mental health provider in Pekin, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1639753676
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA SHANE
Location Address3248 VANDEVER AVEPekin, IL 61554-6274
Mailing Address3248 Vandever AvePekin, IL 61554-6274 · (309) 347-5579
Sole ProprietorNo
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1639753676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3248 VANDEVER AVE, Pekin, IL 61554

Other Names 1

Former Name (1)Melissa Warren

Other Identifiers 1

Other101YM0800XTaxonomy

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.

Community/Behavioral Health
3248 VANDEVER AVE
PEKIN, IL 61554
Clinic/Center (Mental Health (Including Community Mental Health Center))
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Mental Health)
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Social Worker
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554

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 1639753676. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Melissa Warren.

Where is Melissa Shane located?

Melissa Shane practices at 3248 Vandever Ave, Pekin, IL 61554. The listed phone number is (309) 347-5579.

What is Melissa Shane'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 Melissa Shane was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.