Niyah Glover

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC010206 Issued in GA

Practice address

137 Commerce Ave Ste B109
Lagrange, GA 30241-2346

Phone

(470) 867-9810

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: niyahglover@tdh.allscriptsdirect.net

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.

• Essential Medical and Mental Health Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, GA
  • NPI 1548721525
  NPD Authorized official
• Bluegold Health LLC

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1285483891
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1538635792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 LUKE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385798",
            "telephone_number": "770-873-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 COMMERCE AVE STE B109",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412346",
            "telephone_number": "470-867-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "NIYAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda German, RN
• Elizabeth Gesselman
• Hayes Vinson Giddens, AUD
• Bremeka Gilbert, LMSW
• Christopher Blake Glaze
• Elizabeth Ann Gluck
• Robert S Gold, DMD
• Jana Goodman, APRN
• Susan Goodson, DMD
• Kathleen Gordon

• Mental Health Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.