Active NPI
Cynthia Ann Glosser, LICSW
- Mental Health Counselor
- Nashua, NH
National Provider Identifier
1003969015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1103
- Practice address
- 16 Broad St
Nashua, NH 03064-2011 - Phone
- (603) 889-8781
- Fax
- (603) 889-0272
- NPI assigned
- Jan 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1103 | NH | Primary |
Addresses
Primary practice location
16 Broad St
Nashua, NH 03064-2011
Mailing address
16 Broad St
Nashua, NH 03064-2011
Phone (603) 889-8781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423077 | Medicaid | NH |
Other names 1
- Ms. Cynthia Ann Boudo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000330 | NH | Practitioner - Clinical Social Worker | 2163515453 | Practice locations: Bedford, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3 Executive Park Dr
Suite 248
Bedford, NH 03110-7064
Phone 60388987811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003969015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 BROAD ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030642011",
"telephone_number": "603-889-8781",
"fax_number": "603-889-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 BROAD ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030642011",
"telephone_number": "603-889-8781",
"fax_number": "603-889-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSSER",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "1103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423077",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "BOUDO",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.