Active NPI
Vanessa Anne Glatt, LPCC
- Professional Counselor
- Santa Monica, CA
National Provider Identifier
1295104941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9012
- Practice address
- 2644 30TH St
Santa Monica, CA 90405-3060 - Phone
- (310) 314-6200
- NPI assigned
- Sep 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01055 | MN | |
| Professional Counselor | 101YP2500X | 9012 | CA | Primary |
Addresses
Primary practice location
2644 30TH St
Santa Monica, CA 90405-3060
Mailing address
2644 30TH St
Santa Monica, CA 90405-3060
Phone (310) 314-6200
Other practice location 1
2369 109th Ave NW
Coon Rapids, MN 55433-4156
Phone (763) 506-2838
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9012 | CA | MD | Professional Counselor |
| CC01055 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1295104941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2644 30TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053060",
"telephone_number": "310-314-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2644 30TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053060",
"telephone_number": "310-314-6200"
}
],
"practiceLocations": [
{
"address_1": "2369 109th Ave NW",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554334156",
"country_code": "US",
"telephone_number": "763-506-2838",
"fax_number": "763-506-2803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLATT",
"first_name": "VANESSA",
"middle_name": "ANNE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2021-01-22",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01055",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "9012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Eskedar Lidyanna Gizaw, NP
- GJPL, Inc. (Saint Johns Medical Plaza Pharmacy)
- Linda Ann Glaser, M.D., PH.D.
- Edwin Chapman Glass, M.D.
- Jennifer Rachel Glasser, PSY.D.
- Diane Ross Glazer, MFT, PH.D.
- Eve Magdalen Glazier, MD
- Gary Arthur Glickman, MFT
- Global Pharmacy Group Inc. (986 Pharmacy #8008)
- Global Women Foundation & Band of Brothers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.