Individual provider Active NPI

Ashanti Crystal Belle, LMHC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1104449008
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18842 Issued in FL
Practice address
3063 Firethorn Ave
Orange Park, FL 32073-1624
Phone
(609) 792-9231
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18842 FL Primary

Addresses

Primary practice location

3063 Firethorn Ave
Orange Park, FL 32073-1624

Mailing address

3063 Firethorn Ave
Orange Park, FL 32073-1624
Phone (609) 792-9231

Other practice location 1

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone (904) 376-3800

Other names 1

  • Shanti Belle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18842FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BGM Haven PLLC Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Believe and Inspire Counseling LLC Mental Health CurrentSince Oct 21, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1104449008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 FIRETHORN AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731624",
            "telephone_number": "609-792-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 FIRETHORN AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731624",
            "telephone_number": "609-792-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLE",
        "first_name": "ASHANTI",
        "middle_name": "CRYSTAL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTI",
            "last_name": "BELLE",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.