Jeff Glover, MA LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

301797 Issued in MN

Practice address

1517 Highway 13 E
Burnsville, MN 55337-2917

Phone

(952) 890-8879

Fax

(952) 890-8920

NPI assigned

May 20, 2009

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 MN

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Central Ministry Development Center, Inc.Group PAC ID 7214346345, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Ministry Development Center, Inc.

  dba LeaderWise Counseling

  • Counseling Psychologist
  • New Brighton, MN
  • NPI 1164711735
  Medicare reassignment Care Compare group NPD
• Radar, LLC

  dba RADAR Counseling

  • Mental Health Counselor
  • Collegeville, MN
  • NPI 1992411391
  Medicare reassignment NPD
• On-Belay of MN Incorporated

  dba Anthony Louis Center

  • Children's Substance Abuse Rehabilitation Facility
  • Plymouth, MN
  • NPI 1396706008
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1477788461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FORESTVIEW LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415910",
            "telephone_number": "763-542-9212",
            "fax_number": "763-542-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 HIGHWAY 13 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372917",
            "telephone_number": "952-890-8879",
            "fax_number": "952-890-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JEFF",
        "credential": "MA LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "301797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gleason Chiropractic Clinic, P.a.
• Geoffrey Jay Gleason, D.C.
• Brea Glickman, PT, DPT
• Global Dental
• Global International LLC (Future Generation Medical)
• Tishara Tinae Glover
• Brandi Gnade
• Elizabeth Jeanne Gockowski, MS, LPCC
• Charles Brien Godfrey, M.D.
• Ryan H Goeke, OT

• Counselor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.