Individual provider Active NPI

Caren Jill Glassman, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1609025261
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2998 Issued in FL
Practice address
3511 W Commercial Blvd Ste 305
Fort Lauderdale, FL 33309-3322
Phone
(954) 733-3394
Fax
(954) 733-4483
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2998 FL Primary

Addresses

Primary practice location

3511 W Commercial Blvd Ste 305
Fort Lauderdale, FL 33309-3322

Mailing address

3511 W Commercial Blvd Ste 305
Fort Lauderdale, FL 33309-3322
Phone (954) 733-3394

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

LicenseStateTypeSpecialty
MH2998FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1609025261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W COMMERCIAL BLVD STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093322",
            "telephone_number": "954-733-3394",
            "fax_number": "954-733-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W COMMERCIAL BLVD STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093322",
            "telephone_number": "954-733-3394",
            "fax_number": "954-733-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "CAREN",
        "middle_name": "JILL",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.