SHANNON HENDERSON
NPI 1871079137
Counselor - Professional in Rockford, IL

Active since July 19, 2018PECOS Enrolled
5906 ELAINE DR STE 103, ROCKFORD, IL 61108(779) 210-3453 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Jul 19, 2018 (2 updates tracked since 2018).

About Shannon Henderson NPPES

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

SHANNON HENDERSON (NPI 1871079137) is an individual professional provider in Rockford, Illinois and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1871079137
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON HENDERSON
Location Address5906 ELAINE DR STE 103Rockford, IL 61108-2467
Mailing Address5906 Elaine Dr Ste 103Rockford, IL 61108-2467
Sole ProprietorYes
Enumeration DateJuly 19, 2018
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1871079137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
5906 ELAINE DR STE 103, Rockford, IL 61108

Other Names 1

Former Name (1)Shannon Stone

Secondary Practice Location 1

Location 18616 Northern AveRockford, IL 61107-5309 · Phone (815) 332-8003

Accepted Insurance

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 Henderson 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5906 ELAINE DR STE 103
ROCKFORD, IL 61108
Social Worker (Clinical)
5906 ELAINE DR STE 103
ROCKFORD, IL 61108
Social Worker (Clinical)
5906 ELAINE DR STE 103
ROCKFORD, IL 61108

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 Henderson's NPI number?

The NPI number for Shannon Henderson is 1871079137. It was assigned to this individual provider in the NPPES registry on July 19, 2018. The provider is also known as Shannon Stone.

Where is Shannon Henderson located?

Shannon Henderson practices at 5906 Elaine Dr Ste 103, Rockford, IL 61108. The listed phone number is (779) 210-3453.

What is Shannon Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon Henderson enrolled in Medicare?

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

What insurance does Shannon Henderson accept?

Health plans from Quartz list Shannon Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Henderson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.