Individual provider Active NPI

Emily D. Glenn, MA, LPC

  • Counselor
  • Frisco, TX
National Provider Identifier
1457428237
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63216 Issued in TX
Practice address
6942 Ash St
Frisco, TX 75034-5025
Phone
(817) 933-8939
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63216 TX Primary

Addresses

Primary practice location

6942 Ash St
Frisco, TX 75034-5025

Mailing address

12261 Burgess LN
Frisco, TX 75035-6979
Phone (817) 933-8939

Other practice location 1

2200 SE Washington Blvd
Bartlesville, OK 74006-7135
Phone (918) 335-1111

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
63216TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1457428237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 BURGESS LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356979",
            "telephone_number": "817-933-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 ASH ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345025",
            "telephone_number": "817-933-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 SE Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740067135",
            "country_code": "US",
            "telephone_number": "918-335-1111",
            "fax_number": "918-335-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "EMILY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

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