DR. SHAWNA BROUGH (PSYD) – Mental Health Counselor, NPI 1811547342
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for DR. SHAWNA BROUGH (PSYD)
17746, Oak Park Avenue, Tinley Park, Bremen Township, Cook County, Illinois, 60477, United States
TINLEY PARK, IL 604773936
Phone: (708) 444-1012
Fax: (708) 614-7831
Type: Mailing
19530, Kedzie Avenue, Sunny Crest, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States
FLOSSMOOR, IL 604221778
Phone: (708) 503-9670
Type: Location
5215 N RAVENSWOOD AVE STE 212
CHICAGO, IL 606401670
Phone: (872) 205-9931
Type: Mailing
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: 2025-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240326003259 | I | Clinical Psychologist | IL | TBD |
| I20241106002979 | I | Clinical Psychologist | TX | TBD |
| I20250111000113 | I | Clinical Psychologist | NM | TBD |
| I20250129000728 | I | Clinical Psychologist | GA | TBD |
| I20250226002556 | I | Clinical Psychologist | RI | TBD |
| I20250324000733 | I | Clinical Psychologist | MO | TBD |
| I20250512002178 | I | Clinical Psychologist | PA | TBD |
| I20250709002072 | I | Clinical Psychologist | CO | TBD |
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.
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 60477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL |
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