Jennifer Elizabeth Marceron Glienke, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005919 Issued in VA

Practice address

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462

Phone

(703) 469-7361

NPI assigned

Sep 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Family Center Counseling

  • Clinical Psychologist
  • Falls Church, VA
  • NPI 1881872505
  NPD (past)
• Malachite Institute for Behavioral Health Corporation

  • Clinical Psychologist
  • Washington, DC
  • NPI 1285006155
  NPD (past)
• The Family Center Counseling Associates PLLC

  • Professional Counselor
  • Falls Church, VA
  • NPI 1861571507

  Clinical

  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1396293015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "703-469-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "703-469-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5415 Connecticut Ave NW",
            "address_2": "Suite T43",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152765",
            "country_code": "US",
            "telephone_number": "202-248-0316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5691 Columbia Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220412888",
            "country_code": "US",
            "telephone_number": "703-998-5606 x306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCERON GLIENKE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekha Manoj
• Roula Manokas, PHARMACIST
• Manorcare Health Services LLC (ManorCare at Skokie)
• Mansi Raina DMD PLLC
• Dina K Mantis, PA
• Rebecca Marchetti, LSW
• Kelsey Morgan Marcinek, OTR/L
• Revital Michelle Marcus, MD
• Joshua Marder, LMFT
• Evelyn Margolies

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.