Individual provider Active NPI

Tanya M. Glover, LMHC-A

  • Counselor
  • Silverdale, WA
National Provider Identifier
1609367564
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC60712799 Issued in WA
Practice address
12325 Tanager LN NW Apt 104
Silverdale, WA 98383-8188
Phone
(316) 993-6322
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC60712799 WA Primary

Addresses

Primary practice location

12325 Tanager LN NW Apt 104
Silverdale, WA 98383-8188

Mailing address

12325 Tanager LN NW Apt 104
Silverdale, WA 98383-8188
Phone (316) 993-6322

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
MC60712799WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Counseling Center PastSince Jun 19, 2012 Accepting new patients
Madrona Institute of Washington Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/discoverybh/r4/

Organizations & group practices 2

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1609367564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 TANAGER LN NW APT 104",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838188",
            "telephone_number": "316-993-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 TANAGER LN NW APT 104",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838188",
            "telephone_number": "316-993-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "TANYA",
        "middle_name": "M.",
        "credential": "LMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60712799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.