Glenn Mark Collet, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00801 Issued in MO

Practice address

1212 SW Luttrell Rd
Ste F
Blue Springs, MO 64015-4924

Phone

(816) 229-4877

Fax

(816) 229-4891

NPI assigned

May 18, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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 MO

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

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497708465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SW LUTTRELL RD",
            "address_2": "STE F",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154924",
            "telephone_number": "816-229-4877",
            "fax_number": "816-229-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SW LUTTRELL RD",
            "address_2": "STE F",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154924",
            "telephone_number": "816-229-4877",
            "fax_number": "816-229-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLET",
        "first_name": "GLENN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "00801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cockerell & McIntosh Pediatrics, PC
• Charles Frederick Cockerell, MD
• Heather Lynn Colbert
• Tatum Brianne Colburn, DO
• Sara Jane Cole, PSY.D.
• Collier Care Home, Inc
• Kristina Colling, DPT
• Myron Collins, DC
• Patrick H Collins, D.D.S.
• Joy Caroline Colon, BEHAVIOR TECHNICIAN

• Clinical Psychologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.