Active NPI
Kevin Michael Glenn, LPCC11331
- Professional Counselor
- Monterey, CA
National Provider Identifier
1790266807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11331
- Practice address
- 140 W Franklin St Ste 202
Monterey, CA 93940-2725 - Phone
- (831) 521-7222
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11331 | CA | Primary |
Addresses
Primary practice location
140 W Franklin St Ste 202
Monterey, CA 93940-2725
Mailing address
226 Watson St Apt B
Monterey, CA 93940-7903
Phone (831) 521-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 22, 2024 through Oct 22, 2026
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": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1790266807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 WATSON ST APT B",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407903",
"telephone_number": "831-521-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W FRANKLIN ST STE 202",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402725",
"telephone_number": "831-521-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "LPCC11331",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.