IndividualActive
Shane Young, MA, NCC, LPC
NPI 1194337147 · Professional Counselor · Peoria, IL
Shane Young, MA, NCC, LPC is a Professional Counselor provider in Peoria, IL (NPI 1194337147).
Provider details
- NPI number
- 1194337147
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, NCC, LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 178015348 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3020 W Willow Knolls Dr
Peoria, IL 61614-8127
Phone: (309) 681-5850
Street-level locationGet directions
Mailing address
Po Box 335
Glasford, IL 61533-0335
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Frequently asked questions
- What is Shane Young's NPI number?
- Shane Young's National Provider Identifier (NPI) is 1194337147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Young's specialty?
- Shane Young is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shane Young located?
- Shane Young's practice location on file with NPPES is 3020 W Willow Knolls Dr, Peoria, IL 61614-8127.
- What is Shane Young's phone number?
- The practice phone number listed in the NPPES registry for Shane Young is (309) 681-5850.
- Is Shane Young's NPI active?
- Yes — Shane Young's NPI (1194337147) is active in the NPPES registry as of the last update on 2020-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.