Carissa T Glover

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3625 14TH St
Riverside, CA 92501-3815

Phone

(951) 955-1540

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1356974869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N CENTER AVE APT 36M",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644852",
            "telephone_number": "909-292-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 14TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013815",
            "telephone_number": "951-955-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "CARISSA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Meili Glidden, M.S., CF-SLP
• Phillip Joseph Glivar, M.D.
• Global Integrated Medical & Behavioral Health
• Global Rehabilitation Inc.,
• William Gloudeman
• David Gerald Glover
• Ebony Glover
• Go 4 Transportation LLC
• Go With the Flow Family Therapy Inc
• Elizabeth-Marie Go, MD

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.