Shannon Henderson
NPI 1871079137 · Professional Counselor · Rockford, IL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Henderson is a Professional Counselor provider in Rockford, IL (NPI 1871079137).
Provider details
- NPI number
- 1871079137
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 8616 Northern AveRockford, IL 61107-5309Phone: (815) 332-8003
Registry dates
- Enumerated
- 2018-07-19
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Frequently asked questions
- What is Shannon Henderson's NPI number?
- Shannon Henderson's National Provider Identifier (NPI) is 1871079137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Henderson's specialty?
- Shannon Henderson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Henderson located?
- Shannon Henderson's practice location on file with NPPES is 5906 Elaine Dr Ste 103, Rockford, IL 61108-2467.
- What is Shannon Henderson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Henderson is (779) 210-3453.
- Does Shannon Henderson accept Medicare?
- Shannon Henderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Henderson's NPI active?
- Yes — Shannon Henderson's NPI (1871079137) is active in the NPPES registry as of the last update on 2025-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.