SHANNON ZERRUSEN
NPI 1891429932
Counselor - Mental Health in Centralia, IL

Active since July 14, 2022
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Zerrusen NPPES

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

SHANNON ZERRUSEN (NPI 1891429932) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1891429932
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON ZERRUSEN
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391
Sole ProprietorNo
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 14, 2022
NPI 1891429932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
904 M L KING DR, Centralia, IL 62801

Other Identifiers 1

Medicaid370915481007IL

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.

Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
904 M L KING DR
CENTRALIA, IL 62801
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Counselor
904 M L KING DR
CENTRALIA, IL 62801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891429932, enumerated as an "individual" on July 14, 2022.

The provider is located at 904 M L KING DR CENTRALIA, IL 62801 and the phone number is (618) 533-1391.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.