SHAWN JEFFRY MILLER LPC NPI 1033989751

NPI Information

  • NPI: 1033989751
  • Provider Name: SHAWN JEFFRY MILLER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 218 E CHERRY RIDGE RD
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 253-0216

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NPI Details

Shawn Jeffry Miller, LPC is a professional counselor in Peoria, IL with 3 years of experience. Shawn Jeffry Miller, LPC NPI is 1033989751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

218 E CHERRY RIDGE RD
PEORIA, IL
ZIP 61614-117
Phone: (309) 253-0216

The NPI 1033989751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

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
1101YP2500XCounselorProfessional178018604ILLINOISYes

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: 11/21/2025

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