Individual provider Active NPI

Megan Enge Glotz, LMFT

  • Marriage & Family Therapist
  • Manhattan Beach, CA
National Provider Identifier
1609313600
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122007 Issued in CA
Practice address
2100 N Sepulveda Blvd Ste 32
Manhattan Beach, CA 90266-2958
Phone
(608) 434-1642
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF90365 CA
Marriage & Family Therapist 106H00000X 122007 CA Primary

Addresses

Primary practice location

2100 N Sepulveda Blvd Ste 32
Manhattan Beach, CA 90266-2958

Mailing address

543 Virginia St Apt C
El Segundo, CA 90245-2999
Phone (608) 434-1642

Other names 1

  • Megan Suzanne Enge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

560 4TH St
Prairie Du Sac, WI 53578-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF90365CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1609313600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 VIRGINIA ST APT C",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452999",
            "telephone_number": "608-434-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD STE 32",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662958",
            "telephone_number": "608-434-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOTZ",
        "first_name": "MEGAN",
        "middle_name": "ENGE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-07-23",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF90365",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ENGE",
            "middle_name": "SUZANNE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.