Individual provider Active NPI

Courtney Erin Glenn, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Harrison, IN
National Provider Identifier
1598483406
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012931A Issued in IN
Practice address
28208 State Route 1
West Harrison, IN 47060-9686
Phone
(812) 576-1600
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71012931A IN Primary

Addresses

Primary practice location

28208 State Route 1
West Harrison, IN 47060-9686

Mailing address

28208 State Route 1 Ste 101
West Harrison, IN 47060-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220921000241 IN Practitioner - Nurse Practitioner 8628453065 Reassigns benefits to 1 organization
I20250303002669 OH Practitioner - Nurse Practitioner 8628453065 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012931AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jan 20, 2025 Accepting new patients
Health Services Corporation of Southeastern Indiana CurrentSince Aug 28, 2022 Accepting new patients
Community Mental Health Center Inc CurrentSince Aug 10, 2022 Accepting new patients
CNP Operating Co LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

215 E George St
Batesville, IN 47006
Phone (812) 212-7717

16 N Park Ave
Batesville, IN 47006
Phone (812) 934-3245

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

28208 State Route 1
West Harrison, IN 47060
Phone (812) 576-1600

28208 State Route 1
Ste 101
West Harrison, IN 47060
Phone (812) 576-0139

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1598483406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28208 STATE ROUTE 1 STE 101",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470609410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28208 STATE ROUTE 1",
            "city": "WEST HARRISON",
            "state": "IN",
            "postal_code": "470609686",
            "telephone_number": "812-576-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "COURTNEY",
        "middle_name": "ERIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012931A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Harrison, IN

Sources for this page

Verify at the official NPI Registry.