Jennifer L Glock Psychological Consulting Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT604 Issued in FL

Legal business name

JENNIFER L GLOCK PSYCHOLOGICAL CONSULTING INC

Practice address

3715 San Jose PL Ste 1
Jacksonville, FL 32257-8867

Phone

(904) 260-0218

Fax

(904) 880-0802

NPI assigned

Mar 12, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Glock, MANPI 1225019680

Title

Owner

Phone

(904) 260-0218

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jennifer L Glock, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1225019680
  Authorized official Same address or phone
• Joan Ballance Frazier

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1588786396

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1255606158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576203",
            "telephone_number": "904-260-0218",
            "fax_number": "904-292-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SAN JOSE PL STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578867",
            "telephone_number": "904-260-0218",
            "fax_number": "904-880-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L GLOCK PSYCHOLOGICAL CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "GLOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-260-0218",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Jenkins, DPT
• Margaret Jenkins
• Marlena L. Jenkins, B.A.,, BCABA
• Marvin Jenkins
• Rachel Jenkins, RBT
• Desarae Jennings-Osgard, LMHC, NCC
• Arianna Noelle Jennings
• Bernard Jerome Jennings III
• Cassandra Jennings, LMT, LPN
• Kolu Jennings, MCAP, CMHP, CBHCMS

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.