Glenn W Barron

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT2617 Issued in FL

Practice address

348 Miracle Strip Pkwy SW Ste B3
Fort Walton Beach, FL 32548-5200

Phone

(850) 862-3772

NPI assigned

Jul 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Child Development of Northwest Florida, Inc.

  • Marriage & Family Therapist
  • Fort Walton Beach, FL
  • NPI 1093129017
  NPD (past)
• Family and Child Development

  • Marriage & Family Therapist
  • Fort Walton Beach, FL
  • NPI 1306106919
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467976068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE B3",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485200",
            "telephone_number": "850-862-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE B3",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485200",
            "telephone_number": "850-862-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "GLENN",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH15375",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Barnes, PT
• Barnett Facial Plastic & Reconstructive Surgery, PA.
• Austin T Barnett, DO
• Kerri Lynne Barone
• James C Barrentine, R.PH.
• Brianna Barry, PA-C
• Patricia A Barsky, L.P.N
• Anton Bartkiv, DO
• Bartlett Family and Cosmetic Dentistry, PLLC (Bright Smiles Family and Cosmetic Dentistry)
• Katherine Jo Bartlett

• Marriage & Family Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.