Intentional Wellbeing LLC
NPI 1366994410ActiveOrganization· Psychologist, Clinical· Fenton, MI
Psychologist, Clinical in Fenton, Michigan, registered in NPPES in October 2016. The authorized official on file is Cristina Leclair, PSYD LP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366994410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Clinical | 103TC0700X | 6301015165 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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