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Shentelle Marie Livan, LPA

NPI 1235958836ActiveIndividual· Psychologist· Wake Forest, NC

Psychologist (LPA) in Wake Forest, North Carolina, licensed in NC, with an NPI issued in October 2024.

Overview

NPI1235958836
StatusActive
Entity typeIndividual
CredentialLPA
Sole proprietorNo
NPI issuedOct 9, 2024
Last updated in NPPESApr 18, 2025
Certified by providerApr 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X6658NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Wake Forest

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