Katherine Howard Glenn, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

704 Issued in NC

Practice address

5603 B New Garden Village Drive
Greensboro, NC 27410

Phone

(336) 272-8090

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Triad Counseling & Clinical Service LLC

  dba Triad Counseling & Clinical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1619988938
  Medicare reassignment NPD
• Trauma and Addictions Center, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1568758324

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1114020153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 B NEW GARDEN VILLAGE DR.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-272-8090",
            "fax_number": "336-272-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 B NEW GARDEN VILLAGE DRIVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-272-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KATHERINE",
        "middle_name": "HOWARD",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS650",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102104",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Grace Glass, BCBA
• Timothy Austin Glasser, M.D.
• Joshua Glatter, PHARMD
• Glenda Liggins (Triad Home Health Agency)
• Glenn E. Jennings, M.D., P.a.
• Megan Sears Glenn, LCSW-A
• David Glick, M.D.
• Global Lab Management LLC
• Global Nursing
• Chasity Nichole Glunt

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.