Individual provider Active NPI

Alison Ahern Glenn, ACHMA

  • Mental Health Counselor
  • Pleasant Grove, UT
National Provider Identifier
1225876998
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
338869-6009 Issued in UT
Practice address
437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623
Phone
(801) 921-3619
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 338869-6009 UT Primary

Addresses

Primary practice location

437 E 1000 S Ste 200
Pleasant Grove, UT 84062-3623

Mailing address

9894 N 4100 W
Pleasant Grove, UT 84062-9425
Phone (801) 643-6641

Other practice location 1

520 N Market Place Dr Ste 200
Centerville, UT 84014-4904
Phone (801) 934-3373

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

LicenseStateTypeSpecialty
338869-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Counseling Mental Health CurrentSince Jul 21, 2024 Accepting new patients
Neurorev PLLC PastSince Feb 1, 2019 Accepting new patients
South Davis Psychological Services PastSince Dec 4, 2017 Accepting new patients

Locations

437 E 1000 S
#200
Pleasant Grove, UT 84062
Phone (801) 921-3619

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1225876998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 N 4100 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629425",
            "telephone_number": "801-643-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E 1000 S STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623623",
            "telephone_number": "801-921-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Market Place Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840144904",
            "country_code": "US",
            "telephone_number": "801-934-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ALISON",
        "middle_name": "AHERN",
        "credential": "ACHMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "338869-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.