Glynn Nooner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1801005 Issued in AR

Practice address

109 Frankie LN
White Hall, AR 71602

Phone

(870) 247-3588

Fax

(870) 247-2072

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731

  AR

  Medicare reassignment Care Compare group NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)
• BHC Pinnacle Pointe Hospital, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • White Hall, AR
  • NPI 1649542366
  NPD (past)
• Pain Treatment Centers of America PLLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1871360917
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1124575295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022685",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "71602",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONER",
        "first_name": "GLYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1801005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215556795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consuela Tortorich Morris, M.S.
• Shatobeca Moutry
• Dejah Murray, PLMSW
• Veronica Lynn Nelson, COUNSELOR
• Neurology Clinic of South Arkansas,PA
• Amanda Norton, MHPP
• Olivia M Fisher DC
• Out of Knowhere PLLC
• Dennis Owens, LAC
• Leann E Owens, RN

• All providers in White Hall, AR
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.