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DERRELL SHEPHERD RSA
NPI 1801772983
Counselor - Addiction (Substance Use Disorder) in Waukegan, IL

Active since August 13, 2025
3010 GRAND AVE, WAUKEGAN, IL 60085(847) 691-3231 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrell Shepherd Rsa NPPES

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

DERRELL SHEPHERD RSA (NPI 1801772983) is an individual addiction (substance use disorder) provider in Waukegan, Illinois and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1801772983
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRELL SHEPHERDCredential: RSA
Location Address3010 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 691-3231
Phone(847) 691-3231
Sole ProprietorNo
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1801772983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3010 GRAND AVE, Waukegan, IL 60085
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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.

LINDA METTS
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-7847
MRS. PATRICE LOUISE CAMPBELL
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MR. RAYMOND BERNARD MCQUEEN CADC
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296
EVELYN H CHOU NP
Nurse Practitioner (Family)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8800
SINDY LORENA GUERRA BA
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8321
NYKESHIA SMITH
Counselor (Mental Health)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JANINE M PALL RN
Registered Nurse
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8122
VERNESSA STEPNEY
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296

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 Derrell Shepherd's NPI number?

The NPI number for Derrell Shepherd is 1801772983. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Derrell Shepherd located?

Derrell Shepherd practices at 3010 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 691-3231.

What is Derrell Shepherd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derrell Shepherd was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.