Active NPI 1194337147 Individual Practitioner Male Practitioner

Shane G. Young , MA, NCC, LPC

Counselor - Professional • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Shane Young, MA, NCC, LPC is a registered healthcare professional specializing in Counselor - Professional in Peoria, IL. Practice services are available at 3020 W WILLOW KNOLLS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3020 W Willow Knolls Dr

Peoria, IL 616148127

Telephone 3096815850

Associated Practice Facility / Clinic

🏢 Resource Management Services, Inc. Facility NPI 1669521159

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.4 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

153 Specialists

Practicing in Peoria, IL (9683 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-20

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178015348

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Caitlin Reeves , LCPC

Counselor - Professional

NPI 1114579679

Licensed Clinical Professional Counselor

Melissa Shane , LCPC

Counselor

NPI 1326476482

Licensed Clinical Professional Counselor

Laura Volpe , MA, LPC, NCC

Counselor

NPI 1427868017

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Dr. Lori Russell-Chapin , PhD

Counselor - Mental Health

NPI 1508905142

Doctor of Philosophy (Ph.D.)

Lestari Meier , MA NCC LPC

Counselor - Professional

NPI 1588729149

MANCCLPC

Joseph Croegaert , MSW, LCSW

Social Worker - Clinical

NPI 1770663908

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 20, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2020

Registered at 3020 W WILLOW KNOLLS DR, PEORIA, IL 616148127 (Tel: 3096815850)

📍

Updated Business Mailing Address August 20, 2020

Registered at PO BOX 335, GLASFORD, IL 615330335 (Tel: 3092024417)

👤

Provider Name / Credentials Updated August 20, 2020

Recorded as SHANE YOUNG, MA, NCC, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2020

Counselor (License #178015348 in IL)

🟢

Initial NPI Registration & Enumeration August 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194337147

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2020

Last Update: August 20, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 335

Glasford, IL 615330335

Phone: 3092024417

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.