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PAUL J SCHELLENBERG LCPC
NPI 1912267154
Counselor - Professional in Peoria, IL

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
3915 N SHERIDAN RD, UNIT R, PEORIA, IL 61614(309) 681-9432(309) 681-9164 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul J Schellenberg Lcpc NPPES

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

PAUL J SCHELLENBERG LCPC (NPI 1912267154) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.006527) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912267154
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePAUL J SCHELLENBERGCredential: LCPC
Location Address3915 N SHERIDAN RD, UNIT RPeoria, IL 61614-7135
Mailing Address2915 N Knoxville AvePeoria, IL 61603 · (309) 696-0267
Phone(309) 681-9432
Fax(309) 681-9164
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 22, 2012
Last NPPES UpdateDecember 13, 2012
✔ NPI 1912267154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.006527
3915 N SHERIDAN RD, Peoria, IL 61614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul J Schellenberg Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476054123
PECOS Enrollment IDI20250903000637
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

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

AMY DENNISON LCSW
Social Worker (Clinical)
3915 N SHERIDAN RD, SUITE R
PEORIA, IL 61614
Peoria County (309) 681-9432

Frequently Asked Questions

What is Paul Schellenberg's NPI number?

The NPI number assigned to this healthcare provider is 1912267154, enumerated as an "individual" on May 22, 2012.

Where is the provider located?

The provider is located at 3915 N SHERIDAN RD UNIT R PEORIA, IL 61614 and the phone number is (309) 681-9432.

What is the provider's specialty?

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