Organization Active NPI

Glenn Siegel, LPC

  • Professional Counselor
  • Montclair, NJ
National Provider Identifier
1457793523
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00365900 Issued in NJ
Legal business name
GLENN SIEGEL, LPC
Practice address
31 Trinity PL
Montclair, NJ 07042-2773
Phone
(973) 707-7003
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Glenn Siegel, LPCNPI 1053639674
Title
Licensed Professional Professional
Phone
(973) 707-7003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00365900 NJ Primary

Addresses

Primary practice location

31 Trinity PL
Montclair, NJ 07042-2773

Mailing address

PO Box 210
3644 Valley Rd 2ND FL
Liberty Corner, NJ 07938-0210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1457793523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "address_2": "3644 VALLEY RD 2ND FL",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "079380210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TRINITY PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422773",
            "telephone_number": "973-707-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN SIEGEL, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL PROFESSIONAL",
        "authorized_official_telephone_number": "973-707-7003",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00365900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.