Individual provider Active NPI

Glenn Ledrama Sutton

  • Counselor
  • Hope Mills, NC
National Provider Identifier
1760194153
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
515 Blaney CT
Hope Mills, NC 28348-9298
Phone
(910) 797-8981
NPI assigned
Dec 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

515 Blaney CT
Hope Mills, NC 28348-9298

Mailing address

408 W Railroad St
Pembroke, NC 28372-7754
Phone (910) 797-8981

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gls011@bravemail.uncp.edu
Direct Messaging Address gls011@bravemail.uncp.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1760194153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W RAILROAD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727754",
            "telephone_number": "910-797-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BLANEY CT",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489298",
            "telephone_number": "910-797-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "GLENN",
        "middle_name": "LEDRAMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gls011@bravemail.uncp.edu",
            "affiliation": "N",
            "address_1": "515 Blaney Ct",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283489298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gls011@bravemail.uncp.edu",
            "affiliation": "N",
            "address_1": "515 Blaney Ct",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283489298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.