Family Life Counseling Center LLC
NPI 1154198786ActiveOrganization· Counselor, Professional· Eagle, ID
Counselor, Professional in Eagle, Idaho, registered in NPPES in December 2023. The authorized official on file is Shane Michael Duty, LCPC, President.
Overview
| NPI | 1154198786 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2023 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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