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

Shannon Zofkie

Individual provider Counselor · NPI 1164009510

Shannon Zofkie is a Mental Health Counselor in Riverside, Illinois. Qualified in 2020, 6 years ago. Practices with Grace Integrated LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021

Practice location Address checks out

3200 Harlem Ave
Riverside, IL 60546-2012
Phone: (630) 728-1744
Show map & directions

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

Additional practice locations (1)

  • 125 Windsor Dr, Oak Brook, IL 60523-1536 — (630) 728-1744

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180.015591 (IL)

Record details

NPI number1164009510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grace Integrated Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount