SHENTELLE MARIE LIVAN LPA
NPI 1235958836
Psychologist in Wake Forest, NC

Active since October 09, 2024PECOS Enrolled
1964 S MAIN ST, WAKE FOREST, NC 27587(919) 554-0177(919) 554-0177 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shentelle Marie Livan Lpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENTELLE MARIE LIVAN LPA (NPI 1235958836) is an individual psychologist in Wake Forest, North Carolina, licensed in North Carolina (6658) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235958836
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHENTELLE MARIE LIVANCredential: LPA
Location Address1964 S MAIN STWake Forest, NC 27587-9336
Mailing Address4705 University Dr Bldg 700Durham, NC 27707-3489 · (919) 237-1337 · Fax (866) 538-4716
Fax(919) 554-0177
Sole ProprietorNo
Enumeration DateOctober 9, 2024
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1235958836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 6658
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1964 S MAIN ST, Wake Forest, NC 27587

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shentelle Marie Livan Lpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1964 S MAIN ST
WAKE FOREST, NC 27587
Clinic/Center
1964 S MAIN ST
WAKE FOREST, NC 27587
Physician Assistant
1964 S MAIN ST
WAKE FOREST, NC 27587
Family Medicine
1964 S MAIN ST
WAKE FOREST, NC 27587
Physician Assistant
1964 S MAIN ST
WAKE FOREST, NC 27587
Psychologist
1964 S MAIN ST
WAKE FOREST, NC 27587
Family Medicine
1964 S MAIN ST
WAKE FOREST, NC 27587
Nurse Practitioner (Family)
1964 S MAIN ST
WAKE FOREST, NC 27587

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 Shentelle Livan's NPI number?

The NPI number for Shentelle Livan is 1235958836. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Shentelle Livan located?

Shentelle Livan practices at 1964 S Main St, Wake Forest, NC 27587. The listed phone number is (919) 554-0177.

What is Shentelle Livan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shentelle Livan enrolled in Medicare?

Yes. Shentelle Livan is registered in the Medicare PECOS enrollment system.

What insurance does Shentelle Livan accept?

Health plans from Blue Cross and Blue Shield of NC list Shentelle Livan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shentelle Livan was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.