SHANNON B MCCRAY (NPI# 1104365196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104365196 |
| Entity Type | Individual |
| Full Name | SHANNON B MCCRAY |
| Credential | LPC |
| Practice Address |
2744 W 63rd St Chicago IL 60629-2343 |
| Practice Telephone | 7734344626 |
| Mailing Telephone | 7734344626 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
31986 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.009904 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2744 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164455978 | Mohammed Altaf Kaiseruddin | Emergency Medicine | 2744 W 63rd St, Chicago, IL 60629-2343 | 2006-07-08 |
| 1528665379 | Valentina Gonzalez | Counselor | 2744 W 63rd St, Chicago, IL 60629-2343 | 2020-10-05 |
| 1962060566 | Queennorah Anigbogu | Nurse Practitioner | 2744 W 63rd St, Chicago, IL 60629-2343 | 2019-05-30 |
| 1821554593 | Heba Abdel Latief | Dietitian, Registered | 2744 W 63rd St, Chicago, IL 60629-2343 | 2019-02-18 |
| 1386137925 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St, Chicago, IL 60629-2343 | 2018-06-08 |
| 1528558228 | Andrea Karina Haidar | Social Worker | 2744 W 63rd St, Chicago, IL 60629 | 2018-05-17 |
| 1043748114 | Jessica M Grayer-brumfield | Social Worker | 2744 W 63rd St, Chicago, IL 60629-2343 | 2017-06-01 |
| 1770020828 | Inner-city Muslim Action Network | Dentist | 2744 W 63rd St, Chicago, IL 60629-2343 | 2017-01-27 |
| 1558719344 | Natali Y Rehman | Marriage & Family Therapist | 2744 W 63rd St, Chicago, IL 60629-2343 | 2016-06-02 |
| 1003244567 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St, Chicago, IL 60629-2343 | 2013-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.