Individual provider Active NPI

Umanathan Shanmugam, MSW, LBS, CCBT

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1164896684
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BH002914 Issued in PA
Practice address
204 E Cheltenham Ave Apt 1
Philadelphia, PA 19120-1012
Phone
(267) 809-3978
NPI assigned
Nov 20, 2015
Last updated
May 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BH002914 PA Primary
Social Worker 104100000X

Addresses

Primary practice location

204 E Cheltenham Ave Apt 1
Philadelphia, PA 19120-1012

Mailing address

204 E Cheltenham Ave
Philadelphia, PA 19120-1012
Phone (267) 336-8303

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sakya LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

5730 Rising Sun Ave
Philadelphia, PA 19120

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1164896684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201012",
            "telephone_number": "267-336-8303",
            "fax_number": "267-844-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHELTENHAM AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201012",
            "telephone_number": "267-809-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "UMANATHAN",
        "credential": "MSW, LBS, CCBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "BH002914",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.