Active NPI
Louise S Glenn, LPC
- Professional Counselor
- Durham, NC
National Provider Identifier
1427136365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3505
- Practice address
- 5003 Southpark Dr
Suite 200
Durham, NC 27713-9414 - Phone
- (919) 949-1305
- Fax
- (919) 467-0065
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3505 | NC | Primary |
Addresses
Primary practice location
5003 Southpark Dr
Suite 200
Durham, NC 27713-9414
Mailing address
7542 McCrimmon Pkwy
Cary, NC 27519-1879
Phone (919) 949-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142JG | Other | NC | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 3505 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1427136365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7542 MCCRIMMON PKWY",
"city": "CARY",
"state": "NC",
"postal_code": "275191879",
"telephone_number": "919-949-1305",
"fax_number": "919-467-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5003 SOUTHPARK DR",
"address_2": "SUITE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139414",
"telephone_number": "919-949-1305",
"fax_number": "919-467-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "LOUISE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "142JG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.