MANAL SHEHADI-GLENNON
NPI 1174132096
Counselor - Mental Health in Livermore, CA
About Manal Shehadi-glennon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANAL SHEHADI-GLENNON (NPI 1174132096) is an individual mental health provider in Livermore, California, licensed in California (103038) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manal Shehadi-glennon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Manal Shehadi-glennon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manal Shehadi-glennon's NPI number?
The NPI number for Manal Shehadi-glennon is 1174132096. It was assigned to this individual provider in the NPPES registry on July 27, 2020.
Where is Manal Shehadi-glennon located?
Manal Shehadi-glennon practices at 57 S L St Unit 136, Livermore, CA 94550. The listed phone number is (714) 381-6040.
What is Manal Shehadi-glennon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Manal Shehadi-glennon enrolled in Medicare?
Yes. Manal Shehadi-glennon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Manal Shehadi-glennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manal Shehadi-glennon reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manal Shehadi-glennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Manal Shehadi-glennon was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Manal Shehadi-Glennon · NPI 1174132096
Mental Health provider in Livermore, California. Individual provider, active in the CMS NPPES registry since July 27, 2020.
## Identity
- **NPI:** 1174132096 (Entity type: Individual)
- **Enumerated:** July 27, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 103038 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 57 S L ST UNIT 136, Livermore, CA 94550-3138
- **Phone:** (714) 381-6040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174132096) · Data from the CMS NPPES public registry.