SCOTT THOMAS SHIPPERT (NPI# 1053882704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053882704 |
| Entity Type | Individual |
| Full Name | SCOTT THOMAS SHIPPERT |
| Credential | LCPC |
| Practice Address |
15025 S Des Plaines St Ste 101 Plainfield IL 60544-1868 |
| Mailing Address |
106 S Lincolnway Ste F North Aurora IL 60542-1597 |
| Practice Telephone | 6304287890 |
| Mailing Telephone | 8154408492 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180012224 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178.013200 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 S Lincolnway, North Aurora, IL 605421663 | 8154408492 | |
| 222 E Willow Ave, Wheaton, IL 601875426 | 7732973457 |
| Street Address |
15025 S DES PLAINES ST STE 101 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948469 | Rhonda S Konrath | Counselor | 2407 Oak Tree Ln, Plainfield, IL 60586-6106 | 2020-09-30 |
| 1417581737 | Aspire Clinical Therapy, LLC | Counselor | 24014 W Renwick Rd Unit 100, Plainfield, IL 60544-8710 | 2020-02-25 |
| 1154952539 | Marc Edward Mitchell | Counselor | 13430 Skyline Dr, Plainfield, IL 60585-1914 | 2020-02-04 |
| 1578118055 | Samantha Adjekum | Counselor | 24123 W Lockport St Apt 101, Plainfield, IL 60544-2864 | 2019-08-02 |
| 1841853025 | Stephanie Paige Bivin | Counselor | 6509 Langsford Ln, Plainfield, IL 60586-7213 | 2019-04-15 |
| 1821554213 | Vitality Counseling Services Inc | Counselor | 13242 S Route 59 Ste 216, Plainfield, IL 60585-5443 | 2019-02-11 |
| 1255800264 | Taylor Welsch | Counselor | 15726 S Frederick Ave, Plainfield, IL 60544-5535 | 2018-11-19 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1710404645 | Sarah Ashley Nordman | Counselor | 13242 S Route 59 Unit 205, Plainfield, IL 60585-5443 | 2017-08-22 |
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
Please comment or provide details below to improve the information on SCOTT THOMAS SHIPPERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.