Glen Elmer Harelson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

20673 Issued in CA

Practice address

1091 Calcot PL
Studio 401
Oakland, CA 94606-5044

Phone

(775) 223-1975

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1811250020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 CALCOT PL",
            "address_2": "STUDIO 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065044",
            "telephone_number": "775-223-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 CALCOT PL",
            "address_2": "STUDIO 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065044",
            "telephone_number": "775-223-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARELSON",
        "first_name": "GLEN",
        "middle_name": "ELMER",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "20673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Hardy
• Monte Hardy
• Octavia Marie Hardy
• Arthur Sylvester Hare III, CRNA
• Milele Christina Hare
• Delia Harewood
• Jean Faye Harey, RN
• Allison Harger
• Cherie Annette Hargis, MD
• Thomas B Hargrave III, MD

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.