SHANNON CARLSON
NPI 1962046615
Counselor - Professional in Oswego, IL

Active since November 05, 2019
2683 ROUTE 34, OSWEGO, IL 60543(630) 733-9108(630) 912-4242 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Carlson NPPES

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

SHANNON CARLSON (NPI 1962046615) is an individual professional provider in Oswego, Illinois, licensed in Illinois (178015299) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1962046615
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON CARLSON
Location Address2683 ROUTE 34Oswego, IL 60543-8577
Mailing Address2683 Route 34Oswego, IL 60543-8577 · (630) 733-9108
Fax(630) 912-4242
Sole ProprietorYes
Enumeration DateNovember 5, 2019
NPI 1962046615 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 · 178015299
2683 ROUTE 34, Oswego, IL 60543

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.

Speech-Language Pathologist
2683 ROUTE 34
OSWEGO, IL 60543
Speech-Language Pathologist
2683 ROUTE 34
OSWEGO, IL 60543
Marriage & Family Therapist
2683 ROUTE 34
OSWEGO, IL 60543

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 Carlson's NPI number?

The NPI number for Shannon Carlson is 1962046615. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Shannon Carlson located?

Shannon Carlson practices at 2683 Route 34, Oswego, IL 60543. The listed phone number is (630) 733-9108.

What is Shannon Carlson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Carlson was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.