Individual provider Active NPI

Anjaly Antony

  • Professional Counselor
  • Allen, TX
National Provider Identifier
1255037362
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90740 Issued in TX
Practice address
1772 W McDermott Dr
Allen, TX 75013-3342
Phone
(469) 340-2777
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90740 TX Primary

Addresses

Primary practice location

1772 W McDermott Dr
Allen, TX 75013-3342

Mailing address

1772 W McDermott Dr
Allen, TX 75013-3342
Phone (469) 340-2777

Other practice location 1

1784 W McDermott Dr Ste 110
Allen, TX 75013-3396
Phone (469) 340-2777

Other practice location 2

1774 W McDermott Dr Ste 150
Allen, TX 75013-3424
Phone (469) 340-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811004050 TX Practitioner - Mental Health Counselor 6800394610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shahla Ali MD PA CurrentSince Jul 30, 2025 Accepting new patients
Shahla Ali MD PA CurrentSince Jul 30, 2025 Accepting new patients

Locations

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1255037362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1784 W McDermott Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133396",
            "country_code": "US",
            "telephone_number": "469-340-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1774 W McDermott Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133424",
            "country_code": "US",
            "telephone_number": "469-340-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "ANJALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.