Gloriann P Connor, M.A. LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MFC 42055 Issued in CA

Practice address

400 S 2ND Ave
Suite 111
Barstow, CA 92311-2854

Phone

(760) 256-7279

Fax

(760) 256-7280

NPI assigned

Jan 21, 2008

Last updated

Jun 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  dba Cyti Psychological

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  • NPI 1679172290
  Medicare reassignment NPD

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1073799086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "address_2": "41945 BIG BEAR LAKE SUITE 200",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151927",
            "telephone_number": "909-866-5070",
            "fax_number": "909-878-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 2ND AVE",
            "address_2": "SUITE 111",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112854",
            "telephone_number": "760-256-7279",
            "fax_number": "760-256-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "GLORIANN",
        "middle_name": "P",
        "credential": "M.A.  LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC 42055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Collins
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• Nicholas Colonna
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• Claire Contreras
• Osmin Contreras
• Tamicka Corbin
• Jonathan Edgar Corral
• Mark Christian Counts

• Counselor in Barstow, CA
• Providers in Barstow, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.