Individual provider Active NPI

Kristal Lynn Glaude, M.A., LMHC

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1669957650
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00983 Issued in RI
Practice address
501 Centerville Rd Ste 201
Warwick, RI 02886-4395
Phone
(401) 714-7325
Fax
(401) 921-2436
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00983 RI Primary

Addresses

Primary practice location

501 Centerville Rd Ste 201
Warwick, RI 02886-4395

Mailing address

7 Cindy Cir
Johnston, RI 02919-2208
Phone (401) 215-8434

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC00983RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1669957650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CINDY CIR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192208",
            "telephone_number": "401-215-8434",
            "fax_number": "401-921-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTERVILLE RD STE 201",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864395",
            "telephone_number": "401-714-7325",
            "fax_number": "401-921-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUDE",
        "first_name": "KRISTAL",
        "middle_name": "LYNN",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.