Individual provider Active NPI

Glenn Morrison

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1669116711
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155394 Issued in CA
Practice address
700 Frederick St Ste 103
Santa Cruz, CA 95062-2239
Phone
(360) 473-6212
NPI assigned
Apr 25, 2022
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 155394 CA Primary

Addresses

Primary practice location

700 Frederick St Ste 103
Santa Cruz, CA 95062-2239

Mailing address

PO Box 511
Ukiah, CA 95482-0511
Phone (360) 473-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107002471 CA Practitioner - Marriage and Family Therapist 5698265619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shine a Light Counseling Center, IncGroup PAC ID 6406281211, 9 clinicians

Practice addresses (Care Compare)

700 Frederick St
Suite 103
Santa Cruz, CA 95062-2239
Phone (831) 996-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
155394CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Center for Counseling Marriage & Family Therapist CurrentSince Aug 25, 2025 Accepting new patients
Shine a Light Counseling Center, Inc CurrentSince Aug 25, 2025 Accepting new patients

Locations

1010 Cass St
Ste C3
Monterey, CA 93940
Phone (831) 372-3018

700 Frederick St
Ste 103
Santa Cruz, CA 95062
Phone (831) 222-0111

70 Penny Ln
Ste A
Watsonville, CA 95076
Phone (831) 216-8810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1669116711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954820511",
            "telephone_number": "360-473-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "360-473-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.