Shawn Wunderlich, PhD, LCPC
Counselor, Professional in Naperville, IL. Individual provider (NPI-1).
NPI number1104548866
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1104548866
- Entity type
- Individual (NPI-1)
- Name
- Shawn Wunderlich
- Credential
- PhD, LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2022
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
3420 Lacrosse Ln Ste 107Naperville, IL 60564-8279
Phone 630-447-0238
Mailing address
3420 Lacrosse Ln Ste 107Naperville, IL 60564-8279
Other practice locations
15003 S Route 59
Plainfield, IL 60544-2730
Plainfield, IL 60544-2730
Phone 630-519-1010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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