Active NPI
Christine Elise Glasper, LPC, SCL
- Professional Counselor
- Pontiac, MI
National Provider Identifier
1174144646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401012053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | IF0000000336251 | MI | |
| Professional Counselor | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012053 | MI | MD | Professional Counselor |
| IF0000000336251 | MI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Day Counseling LLC | Single Specialty | Current | 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.