Active NPI
Shasha D'My Jones, MS, LPC, NCC, CBIS
- Professional Counselor
- Lansdowne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012194
- Practice address
- 40 Dudley Ave
Lansdowne, PA 19050-2803 - Phone
- (610) 809-6495
- NPI assigned
- Mar 7, 2020
- Last updated
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | PC012194 | PA | Primary |
Addresses
Primary practice location
40 Dudley Ave
Lansdowne, PA 19050-2803
Mailing address
40 Dudley Ave
Lansdowne, PA 19050-2803
Phone (610) 809-6495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC012194 | Other | PA | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC12194 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outside the Box Strategies, LLC | Professional | Current | Accepting new patients |
| Restore 360 LLC | Single Specialty | Current | Accepting new patients |
| Regal Community Consultants, LLC | Current | Accepting new patients | |
| Effraim Home Care Agency LLC | Past | Accepting new patients |
Locations
7516 City Ave
Ste 7
Philadelphia, PA 19151
Phone (484) 373-2710
7516 City Ave
Ste 78
Philadelphia, PA 19151
Phone (484) 373-2710
1000 Germantown Pike
Ste B1
Plymouth Meeting, PA 19462
Phone (215) 826-7422
Organizations & group practices 4
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.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1700490422
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1831691054
-
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
- NPI 1790350015
Single Specialty
-
- Home Health Agency
- Elkins Park, PA
- NPI 1457720385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1881229169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 DUDLEY AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502803",
"telephone_number": "610-809-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DUDLEY AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502803",
"telephone_number": "610-809-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHASHA",
"middle_name": "D'MY",
"name_prefix": "Ms.",
"credential": "MS, LPC, NCC, CBIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "PC012194",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.