Active NPI
Christopher Glenn, RBT
- Professional Counselor
- Ridgecrest, CA
National Provider Identifier
1114567088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC20091
- Practice address
- 1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577 - Phone
- (760) 499-2363
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | APCC20091 | CA | Primary |
Addresses
Primary practice location
1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577
Mailing address
1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577
Phone (760) 499-2363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-100994 | Other | RBT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC20091 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1114567088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N NORMA ST STE 133",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552577",
"telephone_number": "760-499-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N NORMA ST STE 133",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935552577",
"telephone_number": "760-499-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "CHRISTOPHER",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC20091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-19-100994",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.