Individual provider Active NPI

Karin A Glans, MFT

  • Marriage & Family Therapist
  • Rio Nido, CA
National Provider Identifier
1073887295
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91062 Issued in CA
Practice address
14987 Canyon Seven Rd
Rio Nido, CA 95471
Phone
(760) 707-7682
NPI assigned
Mar 6, 2012
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 91062 CA Primary

Addresses

Primary practice location

14987 Canyon Seven Rd
Rio Nido, CA 95471

Mailing address

PO Box 63
Rio Nido, CA 95471-0063
Phone (760) 707-7682

Other practice location 1

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone (707) 823-7300 ext. 335

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL karinglanscounseling@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1073887295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "RIO NIDO",
            "state": "CA",
            "postal_code": "954710063",
            "telephone_number": "760-707-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14987 CANYON SEVEN RD",
            "city": "RIO NIDO",
            "state": "CA",
            "postal_code": "95471",
            "telephone_number": "760-707-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Gravenstein Hwy N",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954722607",
            "country_code": "US",
            "telephone_number": "707-823-7300 x335",
            "fax_number": "707-823-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANS",
        "first_name": "KARIN",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "karinglanscounseling@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14987 Canyon Seven Rd",
            "city": "Rio Nido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.