Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Shane Counseling Services LLC

Organization Community/Behavioral Health Agency · NPI 1083125298

Melissa Shane Counseling Services LLC is a Community/Behavioral Health Agency in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6919 N Knoxville Ave Ste 100
Peoria, IL 61614-2858
Phone: (309) 369-3498
Fax: (309) 966-0266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 180008837 (IL)

Record details

NPI number1083125298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Shane — Owner · (309) 369-3498
NPI enumeratedOctober 14, 2017
Last updated in NPPESOctober 14, 2017
Mailing address6919 N Knoxville Ave Ste 100, Peoria, IL 61614-2858

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