Active NPI
Carolyn R. Glock, MA, LMHC
- Mental Health Counselor
- North Webster, IN
National Provider Identifier
1043749088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003556A
- Practice address
- 225 N. Main St. Suite 5
North Webster, IN 46555-0751 - Phone
- (574) 834-1393
- Fax
- (833) 527-8322
- NPI assigned
- Jun 5, 2017
- Last updated
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 39003556A | IN | Primary |
Addresses
Primary practice location
225 N. Main St. Suite 5
North Webster, IN 46555-0751
Mailing address
PO Box 751
Warsaw, IN 46581-0751
Phone (574) 834-1393
Other practice location 1
119 W Market St
Columbia City, IN 46725-2311
Phone (260) 248-8176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 17, 2024 through Jan 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003556A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Turning Point Counseling Center
- Mental Health Counselor
- North Webster, IN
- NPI 1679955231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1043749088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751",
"city": "WARSAW",
"state": "IN",
"postal_code": "465810751",
"telephone_number": "574-834-1393",
"fax_number": "833-527-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N. MAIN ST. SUITE 5",
"city": "NORTH WEBSTER",
"state": "IN",
"postal_code": "465550751",
"telephone_number": "574-834-1393",
"fax_number": "833-527-8322"
}
],
"practiceLocations": [
{
"address_1": "119 W Market St",
"address_purpose": "LOCATION",
"city": "Columbia City",
"state": "IN",
"postal_code": "467252311",
"country_code": "US",
"telephone_number": "260-248-8176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOCK",
"first_name": "CAROLYN",
"middle_name": "R.",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003556A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Webster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.