Active NPI 1164721155 Individual Practitioner Female Practitioner

Kendra Ann Shoup

Counselor - Professional • Lorain, OH

Professional Overview & Biography Verified Profile Summary

Kendra Shoup is a registered healthcare professional specializing in Counselor - Professional in Lorain, OH. Practice services are available at 6140 S BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6140 S Broadway

Lorain, OH 440533821

Telephone 4402337232

Fax 4402824779

Associated Practice Facility / Clinic

🏢 Riveon Mental Health And Recovery Facility NPI 1841268281

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lorain, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.3 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

53 Specialists

Practicing in Lorain, OH (6923 Statewide)

Telehealth Adoption Rate

5.7% 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: 2025-08-22

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0900277-SUPV

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Sabrina Jones , LCDC111

Counselor - Addiction (Substance Use Disorder)

NPI 1003277765

Jamillet Torres

Case Manager/Care Coordinator

NPI 1003308065

Victoria Davis

Case Manager/Care Coordinator

NPI 1003473703

Kristina Hamilton , RN

Registered Nurse

NPI 1013123041

Registered Nurse

Grace Ford

Social Worker

NPI 1013426212

Edward Krause , LSW

Social Worker

NPI 1013458470

Licensed Social Worker

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 22, 2025

Registered at 6140 S BROADWAY, LORAIN, OH 440533821 (Tel: 4402337232)

📍

Updated Business Mailing Address August 22, 2025

Registered at 6140 S BROADWAY, LORAIN, OH 440533821 (Tel: 4402337232)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2025

Counselor (License #E.0900277-SUPV in OH)

✅

NPI Profile Active March 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2011

Registered at 347 MIDWAY BLVD, ELYRIA, OH 440359006 (Tel: 4403245701)

📍

Updated Business Mailing Address March 16, 2011

Registered at 18645 DETROIT AVE, APT 621, LAKEWOOD, OH 441073276

👤

Provider Name / Credentials Updated March 16, 2011

Recorded as KENDRA SHOUP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2011

Counselor (License #C.0900277-CR in OH)

🟢

Initial NPI Registration & Enumeration March 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kendra Shoup. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164721155

Entity Type:

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

Enumeration Date: March 16, 2011

Last Update: August 22, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6140 S Broadway

Lorain, OH 440533821

Phone: 4402337232

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.