Barbara Christine Glass, L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1769 Issued in MN

Practice address

11 Civic Center PLZ
Ste 201
Mankato, MN 56001-7710

Phone

(507) 385-7725

Fax

(507) 385-0576

NPI assigned

Feb 18, 2007

Last updated

Dec 11, 2014By 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southern Valley Psychology Clinic, PA

  • Professional Counselor
  • Mankato, MN
  • NPI 1407990807
  Authorized official Same address or phone
• Adam Anderson, PHD, Clinical Psychologist, LLC

  • Clinical Psychologist
  • Mankato, MN
  • NPI 1417365057
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1417091810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CIVIC CENTER PLZ",
            "address_2": "STE 201",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017710",
            "telephone_number": "507-385-7725",
            "fax_number": "507-385-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CIVIC CENTER PLZ",
            "address_2": "STE 201",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017710",
            "telephone_number": "507-385-7725",
            "fax_number": "507-385-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "BARBARA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "297G6GL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674247500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6155841",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120176",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Gilbertson
• Azeneth Gilbertson
• Melissa Sue Gilbertson, PA
• Gillette Children's Specialty Healthcare
• Megan Margaret Gilmore, M.D.
• Alexis D Gleason, LPC
• Renee Jean Gleitz, RN, CNP
• Joel David Glotfelty, MD
• Laura Marie Godfrey
• Christina A Godwin, MD

• Clinical Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.