Individual provider Active NPI

Patricia Conley Glinski, MA, LISAC, CCS

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1295211605
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LISAC-10895 Issued in AZ
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

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LISAC-10895AZMDCounselor

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.

Verify at the official NPI Registry.