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

Melissa A Shane, LCPC

Individual provider Counselor · NPI 1326476482

Melissa A Shane, LCPC is a Counselor in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3020 W Willow Knolls Dr
Peoria, IL 61614-1002
Phone: (309) 681-5850
Fax: (309) 681-5658
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180008837 (IL)

Record details

NPI number1326476482
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedOctober 28, 2013
Last updated in NPPESOctober 28, 2013
Mailing address3020 W. Willow Knolls Drive, Peoria, IL 61614-1002

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