Cole E Glaser, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SW131259 Issued in PA

Practice address

1170 S State St
Ephrata, PA 17522-2601

Phone

(561) 444-3512

Fax

(800) 915-6119

NPI assigned

Nov 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1730723875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "561-444-3512",
            "fax_number": "800-915-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "561-444-3512",
            "fax_number": "800-915-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "PA",
            "postal_code": "175011464",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "fax_number": "800-915-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASER",
        "first_name": "COLE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW127698",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "SW131259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylaine Ghoubrial, M.D.
• Jessica Jacqueline Gillis, CRNP
• Anthony James Giordano, M.D.
• Nader Girgis
• Bashirat Lola Giwa, M.D., MSPH
• Deborah F Glasheen, CRNP
• Paul Gockley, RPH
• Elaine L Goldhammer, MD
• Good Samaritan Physician Services
• Good Samaritan Services

• Addiction (Substance Use Disorder) Counselor in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.