Individual provider Active NPI

Jennifer Marie Filush-Glaze

  • Professional Counselor
  • Opelika, AL
National Provider Identifier
1609406107
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2135 Issued in AL
Practice address
3320 Skyway Dr Ste 802
Opelika, AL 36801-7141
Phone
(334) 742-9102
Fax
(334) 742-9103
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2135 AL Primary

Addresses

Primary practice location

3320 Skyway Dr Ste 802
Opelika, AL 36801-7141

Mailing address

124 Grazia Way
Auburn, AL 36830-7021
Phone (334) 750-1544

Other names 1

  • Jennifer Marie Filush-Glaze Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Assessment Center, LLC CurrentSince May 1, 2024 Accepting new patients
East Alabama Podiatry, PC PastSince Jan 26, 2020 Accepting new patients

Locations

3320 Skyway Dr
Ste 802
Opelika, AL 36801
Phone (334) 742-9102

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1609406107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GRAZIA WAY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307021",
            "telephone_number": "334-750-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 802",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "334-742-9102",
            "fax_number": "334-742-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILUSH-GLAZE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FILUSH-GLAZE",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.