Individual provider Active NPI

Glory McDaniel, MA, LAC, LPC, MFTC

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
National Provider Identifier
1134686264
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0001212 Issued in CO
Practice address
4180 Center Park Dr
Colorado Springs, CO 80916-4505
Phone
(720) 446-8701
NPI assigned
Feb 25, 2019
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001212 CO Primary
Mental Health Counselor 101YM0800X LPC.0016966 CO

Addresses

Primary practice location

4180 Center Park Dr
Colorado Springs, CO 80916-4505

Mailing address

12772 Mt Oxford PL
Peyton, CO 80831-8205
Phone (720) 446-8701

Other practice location 1

411 S Cascade Ave Ste 100
Colorado Springs, CO 80903-3811
Phone (720) 446-8701

Other identifiers 1

IdentifierTypeStateIssuer
90000171725MedicaidCO

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACD.0001212COMDAddiction (Substance Use Disorder) Counselor
LPC.0016966COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Counseling Services, LLC Addiction (Substance Use Disorder) CurrentSince Jun 5, 2022 Accepting new patients
Bilingual Counseling Services, LLC Addiction (Substance Use Disorder) PastSince Oct 27, 2019 Accepting new patients

Locations

411 S Cascade Ave
Ste 100
Colorado Springs, CO 80903
Phone (303) 884-3918

4180 Center Park Dr
Colorado Springs, CO 80916
Phone (719) 418-9705

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1134686264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12772 MT OXFORD PL",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318205",
            "telephone_number": "720-446-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 CENTER PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164505",
            "telephone_number": "720-446-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 S Cascade Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033811",
            "country_code": "US",
            "telephone_number": "720-446-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "GLORY",
        "credential": "MA, LAC, LPC, MFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001212",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000171725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.