Carla Diandre Glasgow

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8350 Mulligan Cir
Port St Lucie, FL 34986-3280

Phone

(239) 641-4346

NPI assigned

Nov 26, 2020

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Tranquility Legacy

  • Mental Health Counselor
  • Port Saint Lucie, FL
  • NPI 1295586790
  Medicare reassignment NPD Authorized official
• Quality BHS Florida, LLC

  dba Quality Behavioral Health Services

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment NPD
• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1184925281
  Medicare reassignment NPD
• Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Pensacola, FL
  • NPI 1790501146
  NPD
• Right Path Behavioral Health Services, LLC.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1255139838
  NPD

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1730783010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880591",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349880591",
            "telephone_number": "239-641-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 MULLIGAN CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863280",
            "telephone_number": "239-641-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "CARLA",
        "middle_name": "DIANDRE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "8350 Mulligan Cir",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349863280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Melissa Carrie Glaser Kindig
• Klaudia Glavan, CD
• David Michael Glener, M.D.
• Chloe Glevenyak
• Gli3, LLC
• Sasha Nicole Glisson

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.