Danielle Glen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4348 Issued in MN

Practice address

303 4TH Ave S Ste a
Sartell, MN 56377-2173

Phone

(320) 406-1516

NPI assigned

Feb 7, 2023

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

Enrolled in MN

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

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Hill Family Services LLCGroup PAC ID 6305374208, 2 clinicians

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 and National Provider Directory roles.

• Beacon Hill Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sartell, MN
  • NPI 1861131716
  Medicare reassignment Care Compare group NPD
• Center for Family Counseling Inc

  • Adult Mental Health Clinic/Center
  • St Cloud, MN
  • NPI 1588731327
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1760189096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 EAGLE CT",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034663",
            "telephone_number": "320-291-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 4TH AVE S STE A",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772173",
            "telephone_number": "320-406-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEN",
        "first_name": "DANIELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Brynne Ann Gerbasi
• Carly Gerding, PA-C
• Jacey Gibbons
• Alisha Gill
• Donna Michelle Goebel
• Sarah Marie Goenner
• Jessica Erin Goerger
• Elizabeth Gohman, MS, LPCC, LADC
• Good Life Chiropractic LLC

• Marriage & Family Therapist in Sartell, MN
• Providers in Sartell, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.