Jennifer K Glick, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT88575 Issued in CA

Practice address

2687 Oak Rd Unit 260
Walnut Creek, CA 94597-7888

Phone

(650) 980-8765

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1174771992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 OAK RD UNIT 260",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977888",
            "telephone_number": "310-975-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 OAK RD UNIT 260",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977888",
            "telephone_number": "650-980-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900443423",
            "country_code": "US",
            "telephone_number": "323-789-6492",
            "fax_number": "323-967-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "62755",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT88575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Glaeser, M.D.
• Raewyn Jane Glasgow, CNM
• Charles Edward Glasper
• Dawn Glass
• Wendy Glassman, RBT
• Glidepath Behavioral Health, a Professional Nursing Corporation (Glidepath Behavioral Health)
• Vanessa Gloor, DDS, RDH
• Lawrence David Gluckstein, MD
• Go Beyond Physical Therapy, Inc (Go Beyond Physical Therapy)
• Zsanell Go, DPT

• Marriage & Family Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.