Rechelle Oline Wright-Glidewell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1725 Oakhurst Ave
Jacksonville, FL 32208-3200

Phone

(904) 765-0665

Fax

(904) 765-0664

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clay Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Middleburg, FL
  • NPI 1275619488
  Medicare reassignment NPD
• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184925281
  NPD (past)
• Right Path Behavioral Health Services, LLC.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1255139838
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1407499676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 OAKHURST AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083200",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 OAKHURST AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083200",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-GLIDEWELL",
        "first_name": "RECHELLE",
        "middle_name": "OLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WPLS Investment Corporation (Icebox Hodges Pointe)
• Mia Wray
• Michael Maurice Wray, DMD
• Jennifer Renee Wren, PA-C
• Wright Medical , LLC
• Tara Louchun Wright-Mitchell, LMHC
• Alexandria Wright, OTA
• Alonzo C Wright, MSW
• Anna Lea Wright, APRN
• Anna Mary Wright, M.D.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.