Active NPI
Grand Quality Counseling With Glaser Burkhardt, LMFT, Inc
- Marriage & Family Therapist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glaser Frederick Burkhardt IV, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417285107 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1417285107
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.