NPIMap

Organization Active NPI

Family Mental Health Services, Inc. of Raleigh. NC

Doing business as Dorothy A. Glasse, M. Ed

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1235352717
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2365 Issued in NC
Legal business name
FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC
Doing business as
Dorothy A. Glasse, M. Ed
Practice address
6129 Remington Lake Dr
Raleigh, NC 27616-6233
Phone
(919) 875-1374
Fax
(919) 954-7051
NPI assigned
Apr 11, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Ms. Dorothy Ann Glasse, M.ED, MA, LPC, LCASNPI 1639907637
Title
Director, Out-Patient Therapist
Phone
(919) 875-1374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2365 NC Primary

Addresses

Primary practice location

6129 Remington Lake Dr
Raleigh, NC 27616-6233

Mailing address

6129 Remington Lake Dr
Raleigh, NC 27616-6233
Phone (919) 875-1374

Other identifiers 3

IdentifierTypeStateIssuer
6102252MedicaidNC
8268OtherNCPREFERRED PROVIDER
141VTOtherNCINDEPENDENT MENTAL HEALTH

Other names 1

  • Dorothy A. Glasse, M. Ed Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1235352717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 REMINGTON LAKE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166233",
            "telephone_number": "919-875-1374",
            "fax_number": "919-954-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 REMINGTON LAKE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166233",
            "telephone_number": "919-875-1374",
            "fax_number": "919-954-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GLASSE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR, OUT-PATIENT THERAPIST",
        "authorized_official_telephone_number": "919-875-1374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, MA, LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102252",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PROVIDER",
            "identifier": "8268",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT MENTAL HEALTH",
            "identifier": "141VT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorothy A. Glasse, M. Ed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.