MEDICARE: NATALIE ANN SHAFER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	178.022327	IL

General Provider Information

NPI Number	:	1215878459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ANN SHAFER LPC

Provider Business Mailing Address
First Line	:	825 N EUCLID AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-1520
Country	:	US
Telephone Number	:	773-255-8845
Fax Number	:

Provider Business Practice Location Address
First Line	:	954 W WASHINGTON BLVD STE 425
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2224
Country	:	US
Telephone Number	:	773-255-8845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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