Stephen Andrew Glenn, BA, RC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

RC60083674 Issued in WA

Practice address

8705 166TH Ave NE
Stillwater House
Redmond, WA 98052-3749

Phone

(425) 653-5080

Fax

(425) 653-5081

NPI assigned

Aug 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Sound

  • Mental Illness Community Based Residential Treatment Facility
  • Redmond, WA
  • NPI 1487214672
  NPD (past)
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1811129133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E OLIVE ST",
            "address_2": "SOUND MENTAL HEALTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222735",
            "telephone_number": "206-302-2200",
            "fax_number": "206-302-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 166TH AVE NE",
            "address_2": "STILLWATER HOUSE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523749",
            "telephone_number": "425-653-5080",
            "fax_number": "425-653-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "BA, RC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC60083674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ginsberg
• Teresa Marie Girolami, MD
• Whitney Given I
• GJSC, LLC
• Kayla Leanne Gladem-West
• Kamil D Glover
• Cecilia Marie Goedert, MA CCC-SLP
• Tracy Lynn Goergen
• Gold'S Health & Performance
• Jeanne Goldbloom, OTR

• Professional Counselor in Redmond, WA
• Providers in Redmond, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.