Active NPI
Glenda L. Mulgado
- Mental Health Counselor
- Manati, PR
National Provider Identifier
1083194385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1324
- Practice address
- 148 Bda Felix Cordova Davila Ste 14
Manati, PR 00674-5991 - Phone
- (787) 403-5232
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1324 | PR | |
| Professional Counselor | 101YP2500X | 1324 | PR | |
| Mental Health Counselor | 101YM0800X | 1324 | PR | Primary |
Addresses
Primary practice location
148 Bda Felix Cordova Davila Ste 14
Manati, PR 00674-5991
Mailing address
Urb Valle San Luis
117 Calle San Jose
Morovis, PR 00687
Phone (787) 403-5232
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": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1083194385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB VALLE SAN LUIS",
"address_2": "117 CALLE SAN JOSE",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-403-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 BDA FELIX CORDOVA DAVILA STE 14",
"city": "MANATI",
"state": "PR",
"postal_code": "006745991",
"telephone_number": "787-403-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULGADO",
"first_name": "GLENDA",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "1324",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "1324",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "1324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.