Individual provider Active NPI

Kimberlee Ann Glassner, MS

  • Mental Health Counselor
  • Laramie, WY
National Provider Identifier
1457519522
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
409 Issued in WY
Practice address
1465 N 4TH St Ste 119
Laramie, WY 82072-2066
Phone
(307) 721-0700
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 409 WY Primary

Addresses

Primary practice location

1465 N 4TH St Ste 119
Laramie, WY 82072-2066

Mailing address

1724 Palmer Dr
Laramie, WY 82070-4700
Phone (307) 760-0454

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 Science

State licenses

LicenseStateTypeSpecialty
409WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aktos Analytics, LLC Past Accepting new patients

Organizations & group practices 1

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1457519522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 PALMER DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704700",
            "telephone_number": "307-760-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 N 4TH ST STE 119",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722066",
            "telephone_number": "307-721-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSNER",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.