Kathy S Glover, MS, LPC

Individual provider Active NPI Mental Health Counselor · Miami, OK

NPI 1275964165 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1275964165
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
615 H St SE
Miami, OK 74354-7908
Phone
(918) 387-8720
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Modoc Nation Behavioral Health Past
since Dec 1, 2019
Accepting new patients
Modoc Nation Behavioral Health Past
since Jan 10, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

615 H St SE
Miami, OK 74354-7908

Mailing address

615 H St SE
Miami, OK 74354-7908
Phone (918) 387-8720

Other providers in Miami, OK

All providers in Miami, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.