SHELBI LYNN EDENS – Mental Health Counselor, NPI 1124709258

SHELBI LYNN EDENS is a healthcare provider. based in Woodstock, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.015456 (IL). The NPI Number for SHELBI LYNN EDENS is 1124709258

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHELBI LYNN EDENS
NPI
1124709258
Phone
Not provided
Address
2030 N SEMINARY AVE
Enumeration Date
31 July 2023
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735725480
Graduation Year
2019 (7 years ago)
PAC ID
1557718483
Group Practice PAC ID
6204826647
Professional Enrollment ID
I20240206003143
Address ID
IL606132193CH4101XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SHELBI LYNN EDENS

  • 2030 N SEMINARY AVE

    WOODSTOCK, IL 600982626

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240206003143IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204826647View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
P S Y C H I A T R YIN

Reviews

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Frequently asked questions

How do payers reference SHELBI LYNN EDENS?
For SHELBI LYNN EDENS, use NPI 1124709258 as the unique 10-digit identifier.
Active or inactive — what applies to SHELBI LYNN EDENS?
You should see SHELBI LYNN EDENS as active in CMS-hosted NPPES data.
What kind of doctor is SHELBI LYNN EDENS?
SHELBI LYNN EDENS is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is SHELBI LYNN EDENS associated with Woodstock?
Public fields place SHELBI LYNN EDENS around Woodstock, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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