Individual provider Active NPI

Glenna Darnell Baughman, MS PCC

  • Mental Health Counselor
  • Kettering, OH
National Provider Identifier
1780857466
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0005416 Issued in OH
Practice address
1926 Malcom Dr
Kettering, OH 45420-3626
Phone
(937) 254-1953
Fax
(937) 256-9876
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0005416 OH Primary
Mental Health Counselor 101YM0800X S10071 OH

Addresses

Primary practice location

1926 Malcom Dr
Kettering, OH 45420-3626

Mailing address

1344 Woodman Dr
Dayton, OH 45432-3475
Phone (937) 684-5273

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
E0005416OHMDMental Health Counselor
S10071OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roberta Hammond, Ms, LPCC & Associates Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1780857466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323475",
            "telephone_number": "937-684-5273",
            "fax_number": "937-256-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 MALCOM DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454203626",
            "telephone_number": "937-254-1953",
            "fax_number": "937-256-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL BAUGHMAN",
        "first_name": "GLENNA",
        "name_prefix": "Ms.",
        "credential": "MS PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0005416",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S10071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.