Glori Vanbrunt, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5208 Issued in MD

Practice address

23680 Three Notch Rd
Suite 202B
Hollywood, MD 20636-3085

Phone

(240) 223-2451

Fax

(240) 223-2451

NPI assigned

Dec 3, 2013

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1023449956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23680 THREE NOTCH RD",
            "address_2": "SUITE 202B",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363085",
            "telephone_number": "240-223-2451",
            "fax_number": "240-223-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23680 THREE NOTCH RD",
            "address_2": "SUITE 202B",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363085",
            "telephone_number": "240-223-2451",
            "fax_number": "240-223-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRUNT",
        "first_name": "GLORI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5208",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440607900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Blake Harbin Summerlin, R.D.
• Austin Robert Taylor
• Karen Ann Tucker, DO
• Turning Point Peer Support, LLC
• Abigail Vallejo
• VPK Shah RX LLC
• Carolyn Wagner, M.A., CCC-SLP
• John Elliott Walker, MA RNC
• Kristen Lynn Walker, LGPC
• Linda Warren, PTA

• Professional Counselor in Hollywood, MD
• Providers in Hollywood, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.