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

Shannon Henderson

Individual provider Counselor · NPI 1871079137

Shannon Henderson is a Counselor in Rockford, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

5906 Elaine Dr Ste 103
Rockford, IL 61108-2467
Phone: (779) 210-3453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8616 Northern Ave, Rockford, IL 61107-5309 — (815) 332-8003

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X

Record details

NPI number1871079137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 19, 2018
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address5906 Elaine Dr Ste 103, Rockford, IL 61108-2467

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