Active NPI
Kathleen Glover, NCC, LPC
- Counselor
- Lewisville, NC
National Provider Identifier
1598970592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4503
- Practice address
- 1108 Saskatoon LN
Lewisville, NC 27023-8618 - Phone
- (336) 945-2507
- Fax
- (336) 945-2507
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4503 | NC | Primary |
Addresses
Primary practice location
1108 Saskatoon LN
Lewisville, NC 27023-8618
Mailing address
1108 Saskatoon LN
Lewisville, NC 27023-8618
Phone (336) 945-2507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4503 | Other | NC | LICENSE PROF COUNS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4503 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598970592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 SASKATOON LN",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238618",
"telephone_number": "336-945-2507",
"fax_number": "336-945-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 SASKATOON LN",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270238618",
"telephone_number": "336-945-2507",
"fax_number": "336-945-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "4503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PROF COUNS #",
"identifier": "4503",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.