Philip Edward Glessner, MFT, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT #0694 Issued in NV

Practice address

10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590

Phone

(702) 493-6745

Fax

(725) 204-9447

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Provider Profiles, Inc.

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1518017342
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1124044938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 S PIONEER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173244",
            "telephone_number": "702-493-6745",
            "fax_number": "725-204-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 PARK RUN DR STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444590",
            "telephone_number": "702-493-6745",
            "fax_number": "725-204-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLESSNER",
        "first_name": "PHILIP",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MFT, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "LADC #782",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "MFT #0694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ledenia Lashon Glenn
• Malique Damani-Najee Glenn
• Manon M Glenn
• Narda J Glenn
• Taelor Jane Glenn
• Sylvia Glez
• Brianna Gliddon, RN
• Tina Glidewell, RD
• Glimmer of Hope Health Solutions LLC
• Glimpse of Vegas Inc.

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.