Shining Light Therapy, LLC
NPI 1083434534ActiveOrganization· Social Worker, Clinical· Englewood, CO
Social Worker, Clinical in Englewood, Colorado, registered in NPPES in October 2024. The authorized official on file is Marissa Tabak, Practice Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083434534 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2024 |
| Last updated in NPPES | Feb 13, 2026 |
| Certified by provider | Feb 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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