Tierra Nykel Shackleford-Banks
NPI 1376074948ActiveIndividual· Marriage & Family Therapist· Berea, OH
Marriage & Family Therapist in Berea, Ohio, licensed in OH, with an NPI issued in March 2017.
Overview
| NPI | 1376074948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 24, 2017 |
| Last updated in NPPES | Jun 20, 2023 |
| Certified by provider | Jun 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | M.2300340-TRNE | OH |
| Behavior Analyst | 103K00000X | — | WA |
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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