Individual provider Active NPI

Juliet Joy Glass, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evergreen, CO
National Provider Identifier
1093447435
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997674-NP Issued in CO
Practice address
25991 Fern Gulch Rd
Evergreen, CO 80439-5617
Phone
(719) 726-3403
Fax
(720) 362-2968
NPI assigned
Jun 24, 2022
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997674-NP CO Primary

Addresses

Primary practice location

25991 Fern Gulch Rd
Evergreen, CO 80439-5617

Mailing address

25991 Fern Gulch Rd
Evergreen, CO 80439-5617
Phone (719) 726-3403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126003541 CO Practitioner - Nurse Practitioner 6507237633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2101 S Blackhawk St
Suite 240
Aurora, CO 80014-1475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997674-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juliet Glass LLC Psychiatric/Mental Health Current Accepting new patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Jan 12, 2023 Accepting new patients
Agape Psychiatric Care PLLC Psychiatric/Mental Health CurrentSince Jun 4, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Jan 12, 2023 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

2101 S Blackhawk St
Ste 240
Denver, CO 80014
Phone (520) 348-3179

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1093447435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25991 FERN GULCH RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395617",
            "telephone_number": "719-726-3403",
            "fax_number": "720-362-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25991 FERN GULCH RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395617",
            "telephone_number": "719-726-3403",
            "fax_number": "720-362-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JULIET",
        "middle_name": "JOY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997674-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.