Active NPI
Desiree Michele Glover, LCPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1619053832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1272
- Practice address
- 401 N Caroline St
Baltimore, MD 21287-0016 - Phone
- (410) 614-4385
- Fax
- (410) 614-0973
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1272 | MD | Primary |
Addresses
Primary practice location
401 N Caroline St
Baltimore, MD 21287-0016
Mailing address
401 N Caroline St
Baltimore, MD 21287-0016
Phone (410) 614-4385
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619053832 | Other | MD | TRI-CARE |
| 231132 | Other | COMPSYCH | |
| RS830023 | Other | CAREFIRST GHMSI | |
| 414090700 | Medicaid | MD | |
| 1619053832 | Medicaid | MD | |
| 61759601 | Other | CAREFIRST MD |
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 |
|---|---|---|---|
| LC1272 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1619053832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N CAROLINE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870016",
"telephone_number": "410-614-4385",
"fax_number": "410-614-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N CAROLINE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870016",
"telephone_number": "410-614-4385",
"fax_number": "410-614-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "DESIREE",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "1619053832",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "231132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST GHMSI",
"identifier": "RS830023",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414090700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619053832",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD",
"identifier": "61759601",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.