Active NPI
Gwen McGlone
- Professional Counselor
- Louisa, KY
National Provider Identifier
1659424141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 103149
- Practice address
- 60 Professional Park Dr
Louisa, KY 41230 - Phone
- (606) 638-4332
- Fax
- (606) 638-4394
- NPI assigned
- Jan 19, 2007
- 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 | 103149 | KY | Primary |
Addresses
Primary practice location
60 Professional Park Dr
Louisa, KY 41230
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103149 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Current | Accepting new patients | |
| Pathways, Inc | Current | Accepting new patients |
Locations
3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005
70 Main St
Frenchburg, KY 40322
Phone (606) 768-2131
840 Interstate Dr
Grayson, KY 41143
Phone (606) 474-5151
60 Professional Park Dr
Louisa, KY 41230
Phone (606) 356-0129
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1609260199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1659424141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790",
"telephone_number": "606-329-8588",
"fax_number": "606-329-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PROFESSIONAL PARK DR",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230",
"telephone_number": "606-638-4332",
"fax_number": "606-638-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLONE",
"first_name": "GWEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "103149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.