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MANAL SHEHADI-GLENNON
NPI 1174132096
Counselor - Mental Health in Livermore, CA

Active since July 27, 2020PECOS Enrolled
57 S L ST UNIT 136, LIVERMORE, CA 94550(714) 381-6040 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, Jul 27, 2020 (2 updates tracked since 2020).

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

NPI1174132096
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMANAL SHEHADI-GLENNON
Location Address57 S L ST UNIT 136Livermore, CA 94550-3138
Mailing Address57 S L St Unit 136Livermore, CA 94550-3138
Phone(714) 381-6040
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 27, 2020
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1174132096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 103038
57 S L ST UNIT 136, Livermore, CA 94550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manal Shehadi-glennon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052890506
PECOS Enrollment IDI20260205001809
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 7 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.