Kim Lauren Glenn, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT106957 Issued in CA

Practice address

1600 Ardmore Ave
Hermosa Beach, CA 90254-3006

Phone

(513) 404-7220

NPI assigned

Jul 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Accent on Wellness Psychology Associates, Inc.

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1265941165
  NPD (past)

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1215414370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ARDMORE AVE UNIT 107",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ARDMORE AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543006",
            "telephone_number": "513-404-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Skypark Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055388",
            "country_code": "US",
            "telephone_number": "310-855-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KIM",
        "middle_name": "LAUREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT106957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gilmore, PT, DPT
• Diana Gilster
• Cassandra Giornali Sorrell, PSYD, LMFT
• Shari Mowlavi Giti, PSY.D.
• Glenn Psychiatric Medical Corporation
• Diane Naomi Glick, LCSW
• Ron Goren Glick, PSY.D
• Theresa Rose Goldstein, MA, APCC
• Adriana Gomez
• Ciana Gonzales

• Marriage & Family Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 May 23, 2022; 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.