Active NPI
Mirranda L Glaskox, CT
- Counselor
- Springboro, OH
National Provider Identifier
1740702828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.1901743-TRNE
- Practice address
- 50 Greenwood LN
Springboro, OH 45066-3033 - Phone
- (937) 746-8523
- Fax
- (937) 746-7857
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RA.161588 | OH | |
| Counselor | 101Y00000X | C.1901743-TRNE | OH | Primary |
Addresses
Primary practice location
50 Greenwood LN
Springboro, OH 45066-3033
Mailing address
204 Cook Rd Ste 400
Lebanon, OH 45036-9600
Phone (513) 228-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901743-TRNE | OH | MD | Counselor |
| RA.161588 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1740702828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 COOK RD STE 400",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369600",
"telephone_number": "513-228-7800",
"fax_number": "513-725-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GREENWOOD LN",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450663033",
"telephone_number": "937-746-8523",
"fax_number": "937-746-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASKOX",
"first_name": "MIRRANDA",
"middle_name": "L",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RA.161588",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1901743-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.