NPIMap

Individual provider Active NPI

Marti J Glass, PHD, LPC

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1356500722
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701004363 Issued in VA
Practice address
2697 International Pkwy
Parkway 2, Ste. 101
Virginia Beach, VA 23452-7803
Phone
(757) 301-7129
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701004363 VA Primary

Addresses

Primary practice location

2697 International Pkwy
Parkway 2, Ste. 101
Virginia Beach, VA 23452-7803

Mailing address

2697 International Pkwy
Parkway 2, Ste. 101
Virginia Beach, VA 23452-7803
Phone (757) 301-7129

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701004363VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Consulting LLC Past Accepting new patients
Mosaic Consulting Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1356500722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY 2, STE. 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-301-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY 2, STE. 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-301-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "MARTI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701004363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.