Individual provider Active NPI

Glen Francis Strobel, PH. D.

  • Clinical Psychologist
  • Lima, OH
National Provider Identifier
1811044274
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3263 Issued in OH
Practice address
1000 W Market St
Lima, OH 45805-2730
Phone
(419) 227-5515
Fax
(419) 227-8827
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 964477 OH
Clinical Psychologist 103TC0700X 3263 OH Primary

Addresses

Primary practice location

1000 W Market St
Lima, OH 45805-2730

Mailing address

1000 W Market St
Lima, OH 45805-2730
Phone (419) 227-5515

Other identifiers 1

IdentifierTypeStateIssuer
0842717MedicaidOH

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
964477OHMDAddiction (Substance Use Disorder) Counselor
3263OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glen F. Strobel, PH.D., LLC Clinical Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1128 W Market St
Lima, OH 45805
Phone (419) 222-2255

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1811044274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052730",
            "telephone_number": "419-227-5515",
            "fax_number": "419-227-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052730",
            "telephone_number": "419-227-5515",
            "fax_number": "419-227-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBEL",
        "first_name": "GLEN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "964477",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842717",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.