Active NPI
Shekina Tamil Burrell, BS
- Professional Counselor
- Canonsburg, PA
National Provider Identifier
1477357309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2006 Tall Grass LN Unit 204
Canonsburg, PA 15317-4720 - Phone
- (646) 629-5626
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2006 Tall Grass LN Unit 204
Canonsburg, PA 15317-4720
Mailing address
2006 Tall Grass LN Unit 204
Canonsburg, PA 15317-4720
Phone (646) 629-5626
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1477357309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 TALL GRASS LN UNIT 204",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174720",
"telephone_number": "646-629-5626",
"fax_number": "646-629-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 TALL GRASS LN UNIT 204",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174720",
"telephone_number": "646-629-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "SHEKINA",
"middle_name": "TAMIL",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.