Active NPI
Kenasia Glover, LPC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1588464481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11020
- Practice address
- 2500 E TC Jester Blvd Ste 243
Houston, TX 77008-1454 - Phone
- (832) 377-1571
- NPI assigned
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 92776 | TX | |
| Mental Health Counselor | 101YM0800X | 11020 | SC | Primary |
Addresses
Primary practice location
2500 E TC Jester Blvd Ste 243
Houston, TX 77008-1454
Mailing address
2500 E TC Jester Blvd Ste 243
Houston, TX 77008-1454
Phone (832) 377-1571
Other practice location 1
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92776 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Wellness Factory LLC | Current | Accepting new patients | |
| Lifesource of North Carolina | Current | Accepting new patients | |
| Lifesource of North Carolina | Current | Accepting new patients |
Locations
1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951
Organizations & group practices 3
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.
-
- General Practice Physician
- Clinton, SC
- NPI 1972861789
-
- Professional Counselor
- Shaw AFB, SC
- NPI 1417892142
-
- Psychologist
- Milton, FL
- NPI 1730648288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1588464481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E TC JESTER BLVD STE 243",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081454",
"telephone_number": "832-377-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E TC JESTER BLVD STE 243",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081454",
"telephone_number": "832-377-1571"
}
],
"practiceLocations": [
{
"address_1": "939 Springdale Dr",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "SC",
"postal_code": "293257266",
"country_code": "US",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOVER",
"first_name": "KENASIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "92776",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "11020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.