Organization Active NPI

Grand Quality Counseling With Glaser Burkhardt, LMFT, Inc

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1073378964
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GRAND QUALITY COUNSELING WITH GLASER BURKHARDT, LMFT, INC
Practice address
7177 Brockton Avenue
109
Riverside, CA 92506-2632
Phone
(951) 605-7911
Fax
(951) 605-7911
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Mr. Glaser Frederick Burkhardt IV, LMFTNPI 1417285107
Title
LMFT/Owner
Phone
(951) 605-7911

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7177 Brockton Avenue
109
Riverside, CA 92506-2632

Mailing address

7177 Brockton Avenue
109
Riverside, CA 92506-2632
Phone (951) 605-7911

Other practice location 1

13800 Heacock St Ste C230
Moreno Valley, CA 92553-3364
Phone (951) 605-7911

Other identifiers 1

IdentifierTypeStateIssuer
1417285107MedicaidCA

National Provider Directory

National Provider Directory

Locations

13800 Heacock St
Ste C230
Moreno Valley, CA 92553
Phone (951) 605-7911

7177 Brockton Ave
Ste 109
Riverside, CA 92506
Phone (951) 225-4998

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1073378964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVENUE",
            "address_2": "109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062632",
            "telephone_number": "951-605-7911",
            "fax_number": "951-729-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVENUE",
            "address_2": "109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062632",
            "telephone_number": "951-605-7911",
            "fax_number": "951-605-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Heacock St Ste C230",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925533364",
            "country_code": "US",
            "telephone_number": "951-605-7911",
            "fax_number": "951-729-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND QUALITY COUNSELING WITH GLASER BURKHARDT, LMFT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BURKHARDT",
        "authorized_official_first_name": "GLASER",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "951-605-7911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417285107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.