Individual provider Active NPI

Liz Marie Glawson, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Warner Robins, GA
National Provider Identifier
1417519489
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
764 Issued in GA
Practice address
607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690
Phone
(478) 225-9860
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 764 GA Primary

Addresses

Primary practice location

607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690

Mailing address

607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690
Phone (478) 225-9860

Other names 1

  • Ms. Liz Glawson Fiebig Former name

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

LicenseStateTypeSpecialty
764GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthqwest LLC Past Accepting new patients
Healthqwest LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1417519489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PKWY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887690",
            "telephone_number": "478-225-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PKWY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887690",
            "telephone_number": "478-225-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAWSON",
        "first_name": "LIZ",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CADCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "FIEBIG",
            "middle_name": "GLAWSON",
            "prefix": "MS.",
            "credential": "CADCII",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.