SHANNON TERRY
NPI 1750703039
Counselor - Professional in Chicago, IL

Active since January 06, 2014
1010 E 79TH ST, CHICAGO, IL 60619(800) 361-6880 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 15, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Shannon Terry NPPES

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

SHANNON TERRY (NPI 1750703039) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.010853) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1750703039
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON TERRY
Location Address1010 E 79TH STChicago, IL 60619-4442
Mailing Address17746 Oak Park AveTinley Park, IL 60477-3936
Sole ProprietorNo
Enumeration DateJanuary 6, 2014
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
NPI 1750703039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.010853
Also ListedBehavior AnalystTaxonomy 103K00000X
1010 E 79TH ST, Chicago, IL 60619

Accepted Insurance

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.

Social Worker
1010 E 79TH ST
CHICAGO, IL 60619
Counselor (Professional)
1010 E 79TH ST
CHICAGO, IL 60619

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750703039, enumerated as an "individual" on January 06, 2014.

The provider is located at 1010 E 79TH ST CHICAGO, IL 60619 and the phone number is (800) 361-6880.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.