Manal Shehadi-Glennon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

103038 Issued in CA

Practice address

57 S L St Unit 136
Livermore, CA 94550-3138

Phone

(714) 381-6040

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1174132096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S L ST UNIT 136",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945503138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S L ST UNIT 136",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945503138",
            "telephone_number": "714-381-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADI-GLENNON",
        "first_name": "MANAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "103038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimini Samir Shah, ARDMS
• Reena Shah
• Bobby Shan, DO, MS
• Payal Sharma
• Shayna Rondon DDS Inc (Periodontal Associates)
• Ellen Shibata, MD
• Esther Mijung Shin, D.P.T.
• Linda T Shiraishi, RN, FNP, CWON
• Michelle Shoji-Lee, PHARM.D.
• Shortz Chiropractic Apc

• Mental Health Counselor in Livermore, CA
• Providers in Livermore, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.