Glenda Austin, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

116 SE Ave N
Idabel, OK 74745-5234

Phone

(580) 286-6672

Fax

(580) 286-5747

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

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.

• Kiamchi Youth Services Inc

  • Community/Behavioral Health Agency
  • Idabel, OK
  • NPI 1861704652
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2010.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1922324722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SE AVE N",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455234",
            "telephone_number": "580-286-6671",
            "fax_number": "580-286-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SE AVE N",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455234",
            "telephone_number": "580-286-6672",
            "fax_number": "580-286-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "GLENDA",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Cuasay Ambas Jr., D.M.D
• Hampton W Anderson III, D.O.
• Karen D Andrews, LBP
• Ardeshir F. Nia, MD, PC
• Matthew Kasey Ashlock
• Kelly Bacon
• Yolanda Renee Bailey
• Terri Lynn Baker
• Lisa A Baracker, DO
• Christie Dawn Barton

• All providers in Idabel, OK
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.