Active NPI
Kathy Glockler
- Marriage & Family Therapist
- Hendersonville, NC
National Provider Identifier
1407249337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1941
- Practice address
- 212 S Grove St Ste F
Hendersonville, NC 28792-4006 - Phone
- (828) 222-7949
- Fax
- (844) 234-7856
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1721 | CT | |
| Marriage & Family Therapist | 106H00000X | 1941 | NC | Primary |
Addresses
Primary practice location
212 S Grove St Ste F
Hendersonville, NC 28792-4006
Mailing address
212 S Grove St Ste F
Hendersonville, NC 28792-4006
Phone (828) 222-7949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004083606 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sara@completepeace.net | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1721 | CT | MD | Marriage & Family Therapist |
| 1941 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Peace, PLLC | Current | Accepting new patients | |
| Lifebridge Community Services, Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Lifebridge Community Services, Inc. | Past | Accepting new patients |
Locations
212 S Grove St
Ste F
Hendersonville, NC 28792
Phone (828) 222-7949
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hendersonville, NC
- NPI 1578235156
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfield, CT
- NPI 1750378667
Marriage & Family Therapist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1922006923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1407249337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 S GROVE ST STE F",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924006",
"telephone_number": "828-222-7949",
"fax_number": "844-234-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S GROVE ST STE F",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924006",
"telephone_number": "828-222-7949",
"fax_number": "844-234-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOCKLER",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "1721",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004083606",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sara@completepeace.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NC HIEA",
"address_1": "212 S Grove St Ste F",
"city": "Hendersonville",
"state": "NC",
"country_code": "US",
"postal_code": "287924006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.