Individual provider Active NPI

Janet Leigh Glenn, LMHC

  • Mental Health Counselor
  • Defuniak Springs, FL
National Provider Identifier
1780344689
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21075 Issued in FL
Practice address
389 Dorsey Ave
Defuniak Springs, FL 32435-3013
Phone
(850) 892-3999
NPI assigned
Dec 20, 2021
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH19915 FL
Mental Health Counselor 101YM0800X MH21075 FL Primary
Professional Counselor 101YP2500X MH21075 FL

Addresses

Primary practice location

389 Dorsey Ave
Defuniak Springs, FL 32435-3013

Mailing address

72 Mosaic Oaks Cir
Santa Rosa Beach, FL 32459-5499
Phone (850) 259-8089

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260224001804 FL Practitioner - Mental Health Counselor 6103307566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

72 Mosaic Oaks Cir
Santa Rosa Beach, FL 32459-5499

9835 Lake Worth Rd
Lake Worth, FL 33467-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH19915FLMDMental Health Counselor
MH21075FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Jan 4, 2026 Accepting new patients
Healthy Transitions, LLC Mental Health CurrentSince Aug 28, 2022 Accepting new patients

Locations

389 Dorsey Ave
Defuniak Springs, FL 32435
Phone (850) 892-3999

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1780344689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOSAIC OAKS CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595499",
            "telephone_number": "850-259-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 DORSEY AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353013",
            "telephone_number": "850-892-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JANET",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21075",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH21075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.