Individual provider Active NPI

Shakirah Ewell

  • Professional Counselor
  • Short Hills, NJ
National Provider Identifier
1619577251
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00759900 Issued in NJ
Practice address
830 Morris Tpke
Short Hills, NJ 07078-2625
Phone
(323) 205-7088
Fax
(833) 419-0181
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00759900 NJ Primary
Professional Counselor 101YP2500X PC014624P PA

Addresses

Primary practice location

830 Morris Tpke
Short Hills, NJ 07078-2625

Mailing address

4075 Linglestown Rd # 172
Harrisburg, PA 17112-1020
Phone (862) 414-2214

Other identifiers 1

IdentifierTypeStateIssuer
1619577251OtherNPI 1

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
37PC00759900NJMDMental Health Counselor
PC014624PPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Hope Therapy Services LLC Mental Health CurrentSince Feb 12, 2023 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients
Living in Wellness Counseling Services LLC PastSince Nov 1, 2020 Accepting new patients

Locations

100 Washington Ave S
Minneapolis, MN 55401
Phone (855) 705-5444

4075 Linglestown Rd
Harrisburg, PA 17112
Phone (940) 784-3357

Organizations & group practices 3

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1619577251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 LINGLESTOWN RD # 172",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121020",
            "telephone_number": "862-414-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MORRIS TPKE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782625",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWELL",
        "first_name": "SHAKIRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00759900",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014624P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1619577251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.