Individual provider Active NPI

Jennifer Lynn Arnold Glick, LMFT

  • Marriage & Family Therapist
  • Denver, CO
National Provider Identifier
1306166707
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
917 Issued in CO
Practice address
323 Detroit St
Denver, CO 80206-4310
Phone
(720) 457-3342
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 917 CO Primary

Addresses

Primary practice location

323 Detroit St
Denver, CO 80206-4310

Mailing address

323 Detroit St
Denver, CO 80206-4310
Phone (720) 457-3342

Other practice location 1

223 N Wahsatch Ave Ste 204
Colorado Springs, CO 80903-3481
Phone (719) 329-1900 ext. 106

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

LicenseStateTypeSpecialty
917COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1306166707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 DETROIT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064310",
            "telephone_number": "720-457-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 DETROIT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064310",
            "telephone_number": "720-457-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 N Wahsatch Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033481",
            "country_code": "US",
            "telephone_number": "719-329-1900 x106",
            "fax_number": "719-329-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN ARNOLD",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.