Individual provider Active NPI

Shahrukh Shah-O'Higgins

  • Mental Health Counselor
  • Johnson City, TN
National Provider Identifier
1437859444
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2483 Issued in TN
Practice address
100 W Unaka Ave
Johnson City, TN 37604-5507
Phone
(423) 408-8041
NPI assigned
Mar 8, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2483 TN Primary

Addresses

Primary practice location

100 W Unaka Ave
Johnson City, TN 37604-5507

Mailing address

100 W Unaka Ave
Johnson City, TN 37604-5507

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

State licenses

LicenseStateTypeSpecialty
2483TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Journey Center for Healing Arts, PLLC Mental Health CurrentSince Mar 1, 2023 Accepting new patients

Locations

100 W Unaka Ave
Johnson City, TN 37604
Phone (423) 408-8041

2700 S Roan St
Ste 435
Johnson City, TN 37601
Phone (423) 401-8041

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1437859444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045507",
            "telephone_number": "423-408-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-O'HIGGINS",
        "first_name": "SHAHRUKH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.