SHANNON PEDERSEN
NPI 1710750781
Counselor - Mental Health in Mchenry, IL

Active since November 01, 2023
4209 W SHAMROCK LN, MCHENRY, IL 60050(815) 344-9443 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shannon Pedersen NPPES

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

SHANNON PEDERSEN (NPI 1710750781) is an individual mental health provider in Mchenry, Illinois and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1710750781
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON PEDERSEN
Location Address4209 W SHAMROCK LNMchenry, IL 60050-8700
Mailing Address4209 W Shamrock LnMchenry, IL 60050-8700
Sole ProprietorNo
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1710750781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4209 W SHAMROCK LN, Mchenry, IL 60050

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.

Counselor (Mental Health)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor (Professional)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor (Mental Health)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor (Professional)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor (Mental Health)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor
4209 W SHAMROCK LN
MCHENRY, IL 60050
Counselor (Mental Health)
4209 W SHAMROCK LN
MCHENRY, IL 60050
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4209 W SHAMROCK LN, UNIT A
MCHENRY, IL 60050

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 Pedersen's NPI number?

The NPI number for Shannon Pedersen is 1710750781. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Shannon Pedersen located?

Shannon Pedersen practices at 4209 W Shamrock Ln, Mchenry, IL 60050. The listed phone number is (815) 344-9443.

What is Shannon Pedersen'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 Shannon Pedersen was last updated on November 1, 2023. 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.