Create Your Life, LLC
NPI 1639529407ActiveOrganization· Counselor, Professional· White Plains, MD
Counselor, Professional in White Plains, Maryland, registered in NPPES in June 2016. The authorized official on file is Shannon Darlene Howard, LCPC, LPC, Lic.Clin. Prof. Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639529407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2016 |
| Last updated in NPPES | Nov 2, 2024 |
| Certified by provider | Oct 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LC1508 | MD |
| Counselor, Professional | 101YP2500X | PRC13741 | DC |
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 (MD) |
|---|
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