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

Mrs. Shannon M Nelson, LCPC

Individual provider Mental Health Counselor · NPI 1528305174

Mrs. Shannon M Nelson, LCPC is a Mental Health Counselor in Rockford, Illinois. Qualified in 2012, 14 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
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

1639 N Alpine Rd Ste Rockford
Rockford, IL 61107-1449
Phone: (815) 200-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180017209 (IL)

Record details

NPI number1528305174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJanuary 15, 2013
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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