Glen Zelenak, M.A., LMFTA
Individual provider Active NPI Marriage & Family Therapist · Browns Summit, NC
NPI 1154731065 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1154731065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 9069A (NC)
- Practice address
- 8104 Broad Ridge CT
Browns Summit, NC 27214-9848 - Phone
- (336) 253-3839
- NPI assigned
- Apr 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Behavior Care, PLLC
Practice addresses (Care Compare)
3817 Lawndale Dr
Suite E2
Greensboro, NC 27455-1641
Phone (336) 355-7872
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250214001369 | NC | Practitioner - Marriage and Family Therapist | 4284164674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9069A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Counseling Center of Greensboro, Inc | Current |
Accepting new patients | |
| Behavior Care, PLLC | Current |
Accepting new patients |
Locations
3817 Lawndale Dr
Ste E2
Greensboro, NC 27455
Phone (336) 355-7872
3713 Richfield Rd
Greensboro, NC 27410
Phone (336) 288-1484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 9069A | NC | Yes |
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
Other providers in Browns Summit, NC
All providers in Browns Summit, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.