Individual provider Active NPI

Glenn Philip Ferdinand, M.S., LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1245417567
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94192 Issued in CA
Practice address
555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052
Phone
(562) 432-1222
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94192 CA Primary

Addresses

Primary practice location

555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052

Mailing address

555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052
Phone (562) 424-1869

Other practice location 1

2537 Ladoga Ave
Long Beach, CA 90815-2308
Phone (562) 556-4577

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imglenn@hushmail.com Direct

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Family Centered Services Inc. CurrentSince Mar 6, 2022 Accepting new patients

Locations

555 E Ocean Blvd
Ste 330
Long Beach, CA 90802
Phone (562) 432-0020

3350 Olive Ave
Signal Hill, CA 90755
Phone (562) 424-1869

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1245417567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E OCEAN BLVD STE 330",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025052",
            "telephone_number": "562-424-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E OCEAN BLVD STE 330",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025052",
            "telephone_number": "562-432-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 Ladoga Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908152308",
            "country_code": "US",
            "telephone_number": "562-556-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "GLENN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imglenn@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2537 Ladoga Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908152308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

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