Glenise M Ferguson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17 Farragut Ave
Colorado Springs, CO 80909-5625

Phone

(719) 636-2122

Fax

(719) 636-1116

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1710499710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 PISTOL RIVER WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213811",
            "telephone_number": "254-458-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FARRAGUT AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095625",
            "telephone_number": "719-636-2122",
            "fax_number": "719-636-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "GLENISE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadi Fergen, MA, LPCC, NCC
• Katherine Ferguson-Glidewell, LCSW
• Amber Nichole Ferguson
• Andrew Ferguson
• Ginger Ferguson
• Heather Anne Ferguson
• Jeffrey K Ferguson, M.D.
• Jennifer Ferguson, PA-C
• Kira Ferguson
• Lauren Nicole Ferguson, RDH

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.