Virginia L Boak Glahn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P58666 Issued in NY

Practice address

661 S Main St
Central Square, NY 13036-9111

Phone

(315) 935-5358

Fax

(315) 668-1073

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Virginia Lynn Glahn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 19, 2024 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Mental Health Counseling Services, PLLC

  • Mental Health Counselor
  • Oswego, NY
  • NPI 1578740403

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1356540678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130360853",
            "telephone_number": "315-935-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S MAIN ST",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369111",
            "telephone_number": "315-935-5358",
            "fax_number": "315-668-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAK GLAHN",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P58666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "GLAHN",
            "middle_name": "LYNN",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Marie Abraham, FNP
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• Dawn Michelle Akkoul, REGISTERED NURSE
• Alexandra Barber
• Leslee Boissy-Weatherup, DDS
• Debbie J Boland, LPN
• Kerstin L Bourgeois, LPN
• Theodore Boyle, DPT
• Bridget a Frio OD PC

• All providers in Central Square, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.