SHANE G. YOUNG (NPI# 1194337147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194337147 |
| Entity Type | Individual |
| Full Name | SHANE G. YOUNG |
| Credential | MA, NCC, LPC |
| Practice Address |
3020 W Willow Knolls Dr Peoria IL 61614-8127 |
| Mailing Address |
Po Box 335 Glasford IL 61533-0335 |
| Practice Telephone | 3096815850 |
| Mailing Telephone | 3092024417 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178015348 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158774 | Shane Alexander Young | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2019-05-06 |
| 1740704865 | Shane M Young | Pharmacist | 850 S Hamilton Rd, Whitehall, OH 43213-3000 | 2017-07-31 |
| 1932491990 | Shane Young | Chiropractor | 9800 Topanga Canyon Blvd, Suite #e, Chatsworth, CA 91311-4076 | 2011-05-10 |
| 1861555823 | Shane S Young | Family Medicine | 499 Wyoming Ave, Kingston, PA 18704-3602 | 2006-12-19 |
| Street Address |
3020 W WILLOW KNOLLS DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821069725 | Bradley Allen Post | Social Worker | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2006-01-30 |
| 1114579679 | Caitlin Rose Reeves | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2019-07-14 |
| 1558840124 | Deborah L Siira | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2018-08-14 |
| 1083169965 | Jason Deford | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2016-08-19 |
| 1861634834 | Katrina Schurter | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2009-04-06 |
| 1730378761 | Resource Management Services, Inc | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2007-10-16 |
| 1619190006 | Diana Kay Anderson | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2007-04-11 |
| 1669509295 | Yvonne Howard | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2007-02-28 |
| 1508905142 | Lori Ann Russell-chapin | Counselor | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2007-02-06 |
| 1699814277 | James R Haig | Social Worker | 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
| 1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
| 1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
| 1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
| 1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
| 1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
| 1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
| 1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| Find all providers in PEORIA | ||||
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| 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.