Individual provider Active NPI

Glen Zelenak, M.A., LMFTA

  • Marriage & Family Therapist
  • Browns Summit, NC
National Provider Identifier
1154731065
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9069A Issued in NC
Practice address
8104 Broad Ridge CT
Browns Summit, NC 27214-9848
Phone
(336) 253-3839
NPI assigned
Apr 30, 2014
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 9069A NC Primary

Addresses

Primary practice location

8104 Broad Ridge CT
Browns Summit, NC 27214-9848

Mailing address

8104 Broad Ridge CT
Browns Summit, NC 27214-9848
Phone (336) 253-3839

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250214001369 NC Practitioner - Marriage and Family Therapist 4284164674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavior Care, PLLCGroup PAC ID 8729521968, 7 clinicians

Practice addresses (Care Compare)

3817 Lawndale Dr
Suite E2
Greensboro, NC 27455-1641
Phone (336) 355-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9069ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Care, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Presbyterian Counseling Center of Greensboro, Inc CurrentSince Nov 7, 2024 Accepting new patients

Locations

3713 Richfield Rd
Greensboro, NC 27410
Phone (336) 288-1484

3817 Lawndale Dr
Ste E2
Greensboro, NC 27455
Phone (336) 355-7872

Organizations & group practices 2

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1154731065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 BROAD RIDGE CT",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149848",
            "telephone_number": "336-253-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 BROAD RIDGE CT",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149848",
            "telephone_number": "336-253-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "GLEN",
        "credential": "M.A., LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "9069A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Summit, NC

Sources for this page

Verify at the official NPI Registry.