Active NPI
Tiara Glenn
- Mental Health Counselor
- Pineville, NC
National Provider Identifier
1619869773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11940 Carolina Place Pkwy Unit 200
Pineville, NC 28134-7471 - Phone
- (704) 541-9080
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NC | Primary | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NC | ||
| School Counselor | 101YS0200X | NC | ||
| Community/Behavioral Health Agency | 251S00000X | NC | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NC | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NC | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
11940 Carolina Place Pkwy Unit 200
Pineville, NC 28134-7471
Mailing address
110 E 36TH St
Apt 567
Charlotte, NC 28206
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1619869773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 36TH ST",
"address_2": "APT 567",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 CAROLINA PLACE PKWY UNIT 200",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281347471",
"telephone_number": "704-541-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "TIARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.