MS. SHENANDOAH CARDWELL MA NCC LCPC NPI 1710098611

NPI Information

NPI: 1710098611
Provider Name: MS. SHENANDOAH CARDWELL, MA, NCC, LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
34930 N US HIGHWAY 45
SUITE 101
LAKE VILLA, IL
ZIP 60046
Phone: (847) 543-7755
Get Directions

MS. Shenandoah Cardwell, MA, NCC, LCPC is a counselor in Lake Villa, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Shenandoah Cardwell, MA, NCC, LCPC NPI is 1710098611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34930 N US HIGHWAY 45
SUITE 101
LAKE VILLA, IL
ZIP 60046-537
Phone: (847) 543-7755
Fax: (847) 543-7759

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		NCC CERT # 22818		Yes
2	101YP2500X	Counselor	Professional	2906-125	WISCONSIN	X
3	101YP2500X	Counselor	Professional		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	169887	OTHER	ILLINOIS	MHN PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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