Sally Jane Glowicki, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006136 Issued in VA

Practice address

214 Bush River Dr
Farmville, VA 23901-3179

Phone

(434) 392-7049

Fax

(434) 392-9221

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shumate Management LLCGroup PAC ID 1557884715, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Shumate Management LLC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1487489134
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  Professional, VA

  Medicare reassignment NPD
• Crossroads Services Board

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1528091063

  Psychologist

  NPD (past)
• Vaught Christian Counseling PC

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1821164583

  Professional

  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1346463965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-392-7049",
            "fax_number": "434-392-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-392-7049",
            "fax_number": "434-392-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWICKI",
        "first_name": "SALLY",
        "middle_name": "JANE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013113",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945450",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• General Business Concerns, Inc.
• Genoa Healthcare LLC
• Teresa Gail George, LPC
• Michelle Louise Giese, PA-C
• Colleen Marie Gleason, ED.M.
• Stephen H Goldberger, MD
• Michael A Goldman, DPM
• Good Life Counseling, LLC
• Brice Goode, PT
• Pia Gordon

• Professional Counselor in Farmville, VA
• Providers in Farmville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.