Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487134110 Individual Practitioner Female Practitioner

Shauna Summers

Counselor - Professional • Peoria, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shauna Summers is a registered healthcare professional specializing in Counselor - Professional in Peoria, IL. Official NPI practice address is registered at 809 W DETWEILLER DR STE 804C.

Practice Location & Contact Primary Location

Practice Address

809 W Detweiller Dr Ste 804c

Peoria, IL 616152132

Telephone 3093239699
Associated Practice Facility / Clinic
🏢 Ironwood Counseling, Llc Facility NPI 1477268134

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: 2026-07-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180011625

Definition to come...

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated July 31, 2026

Recorded as SHAUNA SUMMERS

📍
Updated Practice Location September 13, 2023

Registered at 809 W DETWEILLER DR STE 804C, PEORIA, IL 616152132 (Tel: 3093239699)

📍
Updated Business Mailing Address September 13, 2023

Registered at 809 W DETWEILLER DR STE 804C, PEORIA, IL 616152132 (Tel: 3093239699)

NPI Profile Active August 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2018

Registered at 1820 N STERLING AVE, PEORIA, IL 616046160 (Tel: 3092123606)

📍
Updated Business Mailing Address August 21, 2018

Registered at 1820 N STERLING AVE, PEORIA, IL 616046433 (Tel: 3092123606)

👤
Provider Name / Credentials Updated August 21, 2018

Recorded as SHAUNA SUMMERS, LCPC, NCC, MS, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2018

Counselor (License #180011625 in IL)

🟢
Initial NPI Registration & Enumeration August 21, 2018

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: 1487134110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2018
Last Update: July 31, 2026
Sole Proprietor: Yes

Mailing Address

809 W Detweiller Dr Ste 804c

Peoria, IL 616152132

Phone: 3093239699

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.