Glenn J Anderson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

19 E Abarr Dr
Pueblo West, CO 81007-5436

Phone

(719) 404-6618

NPI assigned

Aug 10, 2021

Sex

Male

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

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 and National Provider Directory roles.

• My Therapy Matters LLC

  • Marriage & Family Therapist
  • Pueblo West, CO
  • NPI 1255921995
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1730854993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 S PALOMAR PL",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810072666",
            "telephone_number": "719-299-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E ABARR DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075436",
            "telephone_number": "719-404-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GLENN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 100 Chiro Walfoort LLC
• 100 Percent Chiropractic Pueblo One
• Aeg Chiropractic
• Jamie R Aguilar, LMT
• Marlo Angel-Hartman
• Ann Ladd, Inc
• Auricle Audiology, LLC
• Autism Advocates of Southern Colorado
• Bailey'S Health Care, Inc.

• All providers in Pueblo West, CO
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.