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

Shawntrell Moore, MALCPC

Individual provider Professional Counselor · NPI 1588050611

Shawntrell Moore, MALCPC is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

401 W Ontario St Ste 150
Chicago, IL 60654-6750
Phone: (217) 816-1154
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.014761 (IL)

Record details

NPI number1588050611
Entity typeIndividual (Type 1)
GenderMale
Credentials MALCPC
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

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