Organization Active NPI

Glade Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, MI
National Provider Identifier
1073107488
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GLADE COUNSELING SERVICES, PLLC
Practice address
540 Napa Valley Dr
Milford, MI 48381-1055
Phone
(810) 626-5196
Fax
(810) 626-5197
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Nicole H Glade, LPCNPI 1710229174
Title
Licensed Professional Counselor
Phone
(810) 626-5196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

540 Napa Valley Dr
Milford, MI 48381-1055

Mailing address

211 N 1St St Ste 213
Brighton, MI 48116-1297
Phone (810) 626-5196

National Provider Directory

National Provider Directory

Locations

211 N 1st St
Ste 213
Brighton, MI 48116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1073107488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 1ST ST STE 213",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161297",
            "telephone_number": "810-626-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NAPA VALLEY DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811055",
            "telephone_number": "810-626-5196",
            "fax_number": "810-626-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GLADE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "810-626-5196",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.