Individual provider Active NPI

Ashanti Anderson, LAPC

  • Mental Health Counselor
  • Huntingdon Valley, PA
National Provider Identifier
1235046095
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC002753 Issued in PA
Practice address
3564 Chimney Swift Dr
Huntingdon Valley, PA 19006-3302
Phone
(267) 708-6932
Fax
(445) 777-7807
NPI assigned
Aug 26, 2026
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X APC002753 PA Primary

Addresses

Primary practice location

3564 Chimney Swift Dr
Huntingdon Valley, PA 19006-3302

Mailing address

3005 Grays Ferry Ave Unit 3947
Philadelphia, PA 19146-5306
Phone (267) 708-6932

Other names 1

  • Shan Anderson Professional 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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1235046095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 GRAYS FERRY AVE UNIT 3947",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191465306",
            "telephone_number": "267-708-6932",
            "fax_number": "445-777-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 CHIMNEY SWIFT DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063302",
            "telephone_number": "267-708-6932",
            "fax_number": "445-777-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ASHANTI",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC002753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAN",
            "last_name": "ANDERSON",
            "credential": "LAPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.