Individual provider Active NPI

Kayla Marie Glenn, MA, LPC

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1881321602
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025020584 Issued in MO
Practice address
3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515
Phone
(573) 777-8455
NPI assigned
Aug 2, 2022
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025020584 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.thehhouse.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250621000319 MO Practitioner - Mental Health Counselor 3577075035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2025020584MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Burrell, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Melissa M Williams Licensed Counselor Professional CurrentSince Oct 13, 2024 Accepting new patients
Melissa M Williams Licensed Counselor, LLC Professional CurrentSince Aug 1, 2022 Accepting new patients

Locations

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

3401 Berrywood Dr
Ste 203
Columbia, MO 65201
Phone (573) 777-8330

1300 E Bradford Pkwy
#H
Springfield, MO 65804

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1881321602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR STE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016515",
            "telephone_number": "573-777-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025020584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thehhouse.org",
            "affiliation": "N",
            "address_1": "1804 Heriford Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652021942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.