Individual provider Active NPI

Stephanie Glennie, LPC

  • Professional Counselor
  • Clinton Township, MI
National Provider Identifier
1174224794
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224984 Issued in MI
Practice address
15600 19 Mile Rd
Clinton Township, MI 48038-3502
Phone
(586) 263-8700
NPI assigned
Mar 10, 2023
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401224984 MI Primary

Addresses

Primary practice location

15600 19 Mile Rd
Clinton Township, MI 48038-3502

Mailing address

2492 Harrison Ave
Rochester Hills, MI 48307-4741
Phone (734) 323-9257

Other names 1

  • Stephanie Glennie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250717000473 MI Practitioner - Mental Health Counselor 0345755369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Professional CurrentSince Jul 21, 2025 Accepting new patients
Downriver Mental Health Clinic PC Mental Health CurrentSince Jul 21, 2025 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Nov 24, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2251 N Squirrel Rd
Ste 315320
Auburn Hills, MI 48326

2251 N Squirrel Rd
Ste 315
Auburn Hills, MI 48326

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

2251 N Squirrel Rd
Ste 320
Auburn Hills, MI 48326
Phone (248) 209-4970

15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 283-0500

Organizations & group practices 3

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1174224794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 HARRISON AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074741",
            "telephone_number": "734-323-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383502",
            "telephone_number": "586-263-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNIE",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GLENNIE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.