Counselors Heart Therapeutic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNSELORS HEART THERAPEUTIC SERVICES, LLC

Practice address

12 N Preston St
Philadelphia, PA 19104-2211

Phone

(267) 225-7638

NPI assigned

Feb 5, 2026

Organization subpart

No

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

Authorized official

Name

Shakina Green Small, LPCNPI 1174260806

Title

Owner

Phone

(267) 225-7638

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakina Small, MS, NCC, LPC, LBC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1174260806
  NPD Authorized official

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1235080227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WEST AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PRESTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042211",
            "telephone_number": "267-225-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 West Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272017",
            "country_code": "US",
            "telephone_number": "267-225-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELORS HEART THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "SHAKINA",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-225-7638",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.