Active NPI
Glide Foundation
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1225880784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GLIDE FOUNDATION
- Practice address
- 330 Ellis St
San Francisco, CA 94102-2735 - Phone
- (415) 654-6000
- NPI assigned
- Apr 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalia Aquino McMillen
- Title
- Chief Financial Officer
- Phone
- (415) 674-6054
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Meals Provider | 174200000X | |||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
330 Ellis St
San Francisco, CA 94102-2735
Mailing address
330 Ellis St
San Francisco, CA 94102-2735
Phone (415) 654-6000
Other names 1
- Glide Foundation
National Provider Directory
National Provider DirectoryLocations
330 Ellis St
San Francisco, CA 94102
Phone (415) 654-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1225880784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ELLIS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941022735",
"telephone_number": "415-654-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ELLIS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941022735",
"telephone_number": "415-654-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLIDE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "MCMILLEN",
"authorized_official_first_name": "ROSALIA",
"authorized_official_middle_name": "AQUINO",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "415-674-6054"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glide Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.