Active NPI
Glyndora Spring Condon, MS, LPC, CTMH, CCTP,
- Professional Counselor
- Cleveland, TN
National Provider Identifier
1184178428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC3583
- Practice address
- 1510 Stuart Rd NE Ste 101
Cleveland, TN 37312-5869 - Phone
- (423) 790-4906
- Fax
- (423) 790-7074
- NPI assigned
- Aug 3, 2016
- Last updated
- Aug 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC3583 | TN | Primary |
Addresses
Primary practice location
1510 Stuart Rd NE Ste 101
Cleveland, TN 37312-5869
Mailing address
241 Lakewood Circle Dr
Decatur, TN 37322-8243
Phone (423) 790-4906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1510 Stuart Rd NE
Suite 101
Cleveland, TN 37312-5869
Phone (423) 790-4906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC3583 | TN | MD | Professional Counselor |
| 3583 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal and Hope Counseling Services LLC | Professional | Current | Accepting new patients |
Locations
1510 Stuart Rd NE
Ste 101
Cleveland, TN 37312
Phone (423) 790-4906
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Cleveland, TN
- NPI 1649830423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1184178428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 LAKEWOOD CIRCLE DR",
"city": "DECATUR",
"state": "TN",
"postal_code": "373228243",
"telephone_number": "423-790-4906",
"fax_number": "423-790-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 STUART RD NE STE 101",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373125869",
"telephone_number": "423-790-4906",
"fax_number": "423-790-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "GLYNDORA",
"middle_name": "SPRING",
"credential": "MS, LPC, CTMH, CCTP,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC3583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
- Comprehensive Neurological Services of East Tennessee, PLLC
- Comprehensive Wellness Center LLC
- Charles Darrin Compton, N.P.
- Michael F Conar, P.AP-C
- Ashley Sloan Condo, RN, FNP
- Lindsay Ellis Conger
- Patricia Elizabeth Conn, LPC/MHSP
- Diego Constante Jr.
- Heidi Ozawa Contractor, MSPT
- Donna Shena Cook, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.