Active NPI
Heather Glenn, MED., LPC
- Professional Counselor
- Denton, TX
National Provider Identifier
1790865152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16579
- Practice address
- 1512 Scripture St
Denton, TX 76201-3916 - Phone
- (940) 382-5328
- Fax
- (940) 898-8527
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 16579 | TX | Primary |
Addresses
Primary practice location
1512 Scripture St
Denton, TX 76201-3916
Mailing address
1512 Scripture St
Denton, TX 76201-3916
Phone (940) 382-5328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10008973 | Other | TX | AMERIGROUP PROVIDER NUMBE |
| 83007L | Other | TX | BCBS PROVIDER NUMBER |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16579 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCD Counseling PA | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Denton, TX
- NPI 1750462495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790865152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 SCRIPTURE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762013916",
"telephone_number": "940-382-5328",
"fax_number": "940-898-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 SCRIPTURE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762013916",
"telephone_number": "940-382-5328",
"fax_number": "940-898-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "MED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER NUMBE",
"identifier": "10008973",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "83007L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.