Bonnie L Glenn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006058 Issued in GA

Practice address

37 W Fairmont Ave Ste 201
Savannah, GA 31406-3457

Phone

(912) 661-2801

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Leigh Craven Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1811202120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063457",
            "telephone_number": "912-661-2801",
            "fax_number": "800-615-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063457",
            "telephone_number": "912-661-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "CRAVEN",
            "middle_name": "LEIGH",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sierra Glass, CAA
• Keylon A Glawson, MD
• James R Glazier Jr., CRNA
• Cindy Ann Gleit, MD
• Jonathan Coleman Glen, M.D.
• Chris Glenn, PHD, NCACI
• Robert T Glenn Jr., MD
• Shannon Corbett Glenn, CRNA
• David Norwood Glisson Sr., L.M.T.
• Heather Glisson, CSFA

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.