Individual provider Active NPI

Glenn Limosnero

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1952911554
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT144750 Issued in CA
Practice address
800 N State St
Ukiah, CA 95482-3410
Phone
(707) 468-5536
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT144750 CA Primary

Addresses

Primary practice location

800 N State St
Ukiah, CA 95482-3410

Mailing address

PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251114001717 CA Practitioner - Marriage and Family Therapist 3072004381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redwood Community Services IncGroup PAC ID 7618263187, 6 clinicians

Practice addresses (Care Compare)

810 N State St
Ukiah, CA 95482-3410
Phone (707) 462-7267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT144750CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Community Services, Inc. CurrentSince Aug 9, 2025 Accepting new patients
Redwood Community Services, Inc. Mental Health CurrentSince Aug 9, 2025 Accepting new patients
Redwood Community Services, Inc Counselor Current Accepting new patients

Locations

810 N State St
Ukiah, CA 95482
Phone (707) 462-2922

140 Gibson St
Ukiah, CA 95482
Phone (707) 467-9065

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1952911554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822077",
            "telephone_number": "707-467-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823410",
            "telephone_number": "707-468-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMOSNERO",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT144750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.