Glen Oglesby, M.A. LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303172 Issued in MN

Practice address

366 Prior Ave N
Suite 204
St. Paul, MN 55104-5165

Phone

(651) 644-4944

Fax

(651) 646-0196

NPI assigned

Aug 17, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1073989844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 PRIOR AVE N",
            "address_2": "SUITE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045165",
            "telephone_number": "651-644-4944",
            "fax_number": "651-646-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 PRIOR AVE N",
            "address_2": "SUITE 204",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551045165",
            "telephone_number": "651-644-4944",
            "fax_number": "651-646-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "GLEN",
        "credential": "M.A. LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ogbankwa
• Ijeoma Ogbonnaya, CNP
• Tiffany Ogden, LICSW
• Austin J Ogeay
• Cyline Ogega
• Diane S Ogren, MD
• Jessica J Ogren, O.T.R.
• Maxwell Ugochukwu Ogumgbuaja
• Taiwo Abolaji Ogundeji
• Gregory Olutosin Ogunnowo, MD

• Addiction (Substance Use Disorder) Counselor in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.