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SHANNON KONECNY MA
NPI 1659623866
Counselor - Mental Health in Springfield, IL

Active since October 11, 2012PECOS Enrolled
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704(312) 646-0680 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Feb 26, 2020 (2 updates tracked since 2020).

About Shannon Konecny Ma NPPES

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

SHANNON KONECNY MA (NPI 1659623866) is an individual mental health provider in Springfield, Illinois, licensed in Illinois (180.012787) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659623866
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON KONECNYCredential: MA
Location Address2501 CHATHAM RD STE NSpringfield, IL 62704-4188
Mailing Address2501 Chatham Rd Ste NSpringfield, IL 62704-4188 · (312) 646-0680
Phone(312) 646-0680
Sole ProprietorNo
Enumeration DateOctober 11, 2012
Last NPPES UpdateMay 24, 20242 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1659623866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.012787
2501 CHATHAM RD STE N, Springfield, IL 62704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Konecny Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

GRAY THERAPY GROUP, PLLC
Social Worker (Clinical)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (847) 834-9189
PROMETHEUS RISES PLLC
Social Worker (Clinical)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (210) 874-8949
HANNAH CHRISTINE JONES PLLC
Social Worker (Clinical)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (720) 755-8256
MR. CHRISTOPHER M DOLAK AGNP-C
Nurse Practitioner (Adult Health)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (815) 781-2608
BRANDY KELLEY COUNSELING, PLLC
Clinic/Center (Adult Mental Health)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (217) 383-0964
LAUREN LEIGH BARRIS LCSW
Social Worker (Clinical)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (616) 328-6109
MOTHER TREE COUNSELING LLC
Social Worker (Clinical)
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (630) 296-4442
PHYSIOTACTICS
Physical Therapist
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704
Sangamon County (630) 346-3874

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 Shannon Konecny's NPI number?

The NPI number for Shannon Konecny is 1659623866. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Shannon Konecny located?

Shannon Konecny practices at 2501 Chatham Rd Ste N, Springfield, IL 62704. The listed phone number is (312) 646-0680.

What is Shannon Konecny's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Konecny enrolled in Medicare?

Yes. Shannon Konecny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Konecny was last updated on May 24, 2024. 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.