Nicole Glade, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011225 Issued in MI

Practice address

1800 N Milford Rd Ste 100
Milford, MI 48381

Phone

(248) 684-6400

Fax

(248) 322-0006

NPI assigned

Mar 25, 2013

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment NPD
• Glade Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, MI
  • NPI 1073107488
  NPD Authorized official
• Carpenter Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Milford, MI
  • NPI 1497911895
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1710229174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N MILFORD RD STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811047",
            "telephone_number": "248-684-6400",
            "fax_number": "248-322-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N MILFORD RD STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "48381",
            "telephone_number": "248-684-6400",
            "fax_number": "248-322-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 N Milford Rd",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483815107",
            "country_code": "US",
            "telephone_number": "248-390-1905",
            "fax_number": "248-887-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADE",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Coccia Galvan, NM
• Brian James Gardner, DPT, PT
• Rachel N Garrison
• Sheri L Germane
• Glade Counseling Services, PLLC
• Gerald A. Glass, LLBSW, CADC-DP
• Andrew Glidden, LLMSW
• Karen Lynne Goldy, AGAC-NP
• Nikhila Devi Goli, DDS
• Russell Bryant Goodman

• Professional Counselor in Milford, MI
• Providers in Milford, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.

Verify at the official NPI Registry.