Tony Everett Glenn

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A10015 Issued in NC

Practice address

1100 Logger CT
Raleigh, NC 27609-8525

Phone

(919) 844-7770

NPI assigned

Jun 23, 2015

Sex

Male

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 NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Sigma Health Services LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1962643270
  Medicare reassignment NPD

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1427430743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "919-844-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "919-844-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "TONY",
        "middle_name": "EVERETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Glenn, LCMHCA
• Krystal Janelle Glenn, LCSW-A
• Lindsey Inez Glenn, MS RD
• Shelleatha Dunn Glenn
• Susan A. Glenn, M.D.
• Glenwood Avenue Foot and Ankle PLLC
• Glenwood Direct Primary Care PLLC
• Glenwood Psychiatric Associates PLLC
• Benjamin Scott Maxwell Glickman, DC
• Glimmer of Hope Therapy

• Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.