Shadow and Light Wellness LLC
NPI 1023823531ActiveOrganization· Counselor, Mental Health· Ammon, ID
Counselor, Mental Health in Ammon, Idaho, registered in NPPES in February 2025. The authorized official on file is Samantha Darlene Hodge-Tracy, LPC, Owner/Counselor.
Overview
| NPI | 1023823531 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2025 |
| Last updated in NPPES | Feb 11, 2025 |
| Certified by provider | Feb 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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