Individual provider Active NPI

Christine Elise Glasper, LPC, SCL

  • Professional Counselor
  • Pontiac, MI
National Provider Identifier
1174144646
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012053 Issued in MI
Practice address
19 Ruth Ave
Pontiac, MI 48341-1925
Phone
(248) 895-2750
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X IF0000000336251 MI
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401012053 MI Primary

Addresses

Primary practice location

19 Ruth Ave
Pontiac, MI 48341-1925

Mailing address

19 Ruth Ave
Pontiac, MI 48341-1925
Phone (248) 895-2750

Other names 1

  • Christine Elise Jackson Former name

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

State licenses

LicenseStateTypeSpecialty
6401012053MIMDProfessional Counselor
IF0000000336251MIMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Day Counseling LLC Single Specialty CurrentSince May 10, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1174144646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RUTH AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411925",
            "telephone_number": "248-895-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RUTH AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411925",
            "telephone_number": "248-895-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASPER",
        "first_name": "CHRISTINE",
        "middle_name": "ELISE",
        "credential": "LPC, SCL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "IF0000000336251",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JACKSON",
            "middle_name": "ELISE",
            "credential": "LPC, SCL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.