Active NPI
Patricia Conley Glinski, MA, LISAC, CCS
- Counselor
- Phoenix, AZ
National Provider Identifier
1295211605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LISAC-10895
- Practice address
- 1840 N 95TH Ave Ste 146
Phoenix, AZ 85037-4446 - Phone
- (623) 234-9811
- Fax
- (623) 234-9815
- NPI assigned
- Jul 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LISAC-10895 | AZ | Primary |
Addresses
Primary practice location
1840 N 95TH Ave Ste 146
Phoenix, AZ 85037-4446
Mailing address
1840 N 95TH Ave Ste 146
Phoenix, AZ 85037-4446
Phone (623) 234-9811
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10895 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1295211605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 N 95TH AVE STE 146",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374446",
"telephone_number": "623-234-9811",
"fax_number": "623-234-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N 95TH AVE STE 146",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374446",
"telephone_number": "623-234-9811",
"fax_number": "623-234-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLINSKI",
"first_name": "PATRICIA",
"middle_name": "CONLEY",
"name_prefix": "Ms.",
"credential": "MA, LISAC, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LISAC-10895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.