Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane G. Young, MA, NCC, LPC

Individual provider Professional Counselor · NPI 1194337147

Shane G. Young, MA, NCC, LPC is a Professional Counselor in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3020 W Willow Knolls Dr
Peoria, IL 61614-8127
Phone: (309) 681-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178015348 (IL)

Record details

NPI number1194337147
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , NCC , LPC
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

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