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KELSEY LYNN DENNIS SHAVE
NPI 1669352225
Counselor in Bloomington, IL

Active since September 04, 2025
404 N HERSHEY RD STE C, BLOOMINGTON, IL 61704(877) 381-6538(312) 663-0504 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Lynn Dennis Shave NPPES

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

KELSEY LYNN DENNIS SHAVE (NPI 1669352225) is an individual counselor in Bloomington, Illinois, licensed in Illinois (180008381) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1669352225
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELSEY LYNN DENNIS SHAVE
Location Address404 N HERSHEY RD STE CBloomington, IL 61704-3560
Mailing Address500 W Monroe St Fl 18Chicago, IL 60661-3759 · (312) 663-1130 · Fax (312) 663-0504
Phone(877) 381-6538
Fax(312) 663-0504
Sole ProprietorYes
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1669352225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180008381
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
404 N HERSHEY RD STE C, Bloomington, IL 61704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TATIANA JONES-MOORE LCSW
Social Worker (Clinical)
404 N HERSHEY RD STE C
BLOOMINGTON, IL 61704
McLean County (877) 381-6538
JOSHUA HULETT LSW
Social Worker
404 N HERSHEY RD STE C
BLOOMINGTON, IL 61704
McLean County (877) 381-6538

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 Kelsey Dennis Shave's NPI number?

The NPI number for Kelsey Dennis Shave is 1669352225. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Kelsey Dennis Shave located?

Kelsey Dennis Shave practices at 404 N Hershey Rd Ste C, Bloomington, IL 61704. The listed phone number is (877) 381-6538.

What is Kelsey Dennis Shave's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelsey Dennis Shave was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.