Active NPI
Jeremy David Glosser
- Professional Counselor
- Denton, TX
National Provider Identifier
1013364504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65336
- Practice address
- 1408 Teasley LN
Apt #1824
Denton, TX 76205-5288 - Phone
- (469) 394-1568
- NPI assigned
- May 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 65336 | TX | |
| Mental Health Counselor | 101YM0800X | 65336 | TX | |
| Professional Counselor | 101YP2500X | 65336 | TX | Primary |
Addresses
Primary practice location
1408 Teasley LN
Apt #1824
Denton, TX 76205-5288
Mailing address
1408 Teasley LN
Apt #1824
Denton, TX 76205-5288
Phone (469) 394-1568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65336 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1013364504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 TEASLEY LN",
"address_2": "APT #1824",
"city": "DENTON",
"state": "TX",
"postal_code": "762055288",
"telephone_number": "469-394-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 TEASLEY LN",
"address_2": "APT #1824",
"city": "DENTON",
"state": "TX",
"postal_code": "762055288",
"telephone_number": "469-394-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSSER",
"first_name": "JEREMY",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "65336",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "65336",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.