Active NPI
Shanae Farquharson
- Marriage & Family Therapist
- Media, PA
National Provider Identifier
1144840562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- FT-0010069
- Practice address
- 1055 E Baltimore Pike Ste 300
Media, PA 19063-5173 - Phone
- (610) 892-3800
- NPI assigned
- Apr 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001797 | GA | |
| Marriage & Family Therapist | 106H00000X | 0717002659 | VA | |
| Marriage & Family Therapist | 106H00000X | 203940 | TX | |
| Marriage & Family Therapist | 106H00000X | FT-0010069 | DE | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 37FI00195700 | NJ | |
| Marriage & Family Therapist | 106H00000X | 4103-R | NV | |
| Marriage & Family Therapist | 106H00000X | MF001175 | PA | |
| Marriage & Family Therapist | 106H00000X | 166012254 | IL |
Addresses
Primary practice location
1055 E Baltimore Pike Ste 300
Media, PA 19063-5173
Mailing address
4991 Parkside Ave N Apt 108
Philadelphia, PA 19131-2519
Phone (215) 253-9639
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1144840562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4991 PARKSIDE AVE N APT 108",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312519",
"telephone_number": "215-253-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 E BALTIMORE PIKE STE 300",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635173",
"telephone_number": "610-892-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARQUHARSON",
"first_name": "SHANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-26",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001797",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717002659",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203940",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "DE",
"license": "FT-0010069",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00195700",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4103-R",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF001175",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166012254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.