Glenn Joseph Nelson Jr., MA, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00657800 Issued in NJ

Practice address

221 Laurel Rd
Voorhees, NJ 08043-2330

Phone

(856) 772-5852

NPI assigned

Feb 21, 2023

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 NJ

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

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Zenith Care Services NJ Pcllc

  • Marriage & Family Therapist
  • Jackson, NJ
  • NPI 1447057419
  Medicare reassignment NPD
• Summit Health Services PC NJ LLC

  • Psychologist
  • Jackson, NJ
  • NPI 1871433755
  Medicare reassignment

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1427756261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD STE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438301",
            "telephone_number": "856-772-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432330",
            "telephone_number": "856-772-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MA, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00657800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Nasta
• Andrea Nasuti, LSW
• Jacob Nathanson
• Navigating Neuro Speech Therapy LLC
• Karli Ann Negrin, MPT
• Nicholas Nelson, RDH
• Nephrology and Hypertension
• Grace Noor Nesheiwat, DO
• Lauren Marie Nestel, LPC
• Tetyana Nesteruk, M.D.

• Mental Health Counselor in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.