Helen Glaze

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF95289 Issued in CA

Practice address

250 W 1St St Ste 230
Claremont, CA 91711-4744

Phone

(909) 624-1997

Fax

(909) 624-4409

NPI assigned

Sep 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Claremont Counseling and Support Center a Psychological Corporation

  • Psychologist
  • Claremont, CA
  • NPI 1861723348
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1972052280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 230",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114744",
            "telephone_number": "909-624-1997",
            "fax_number": "909-624-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 230",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114744",
            "telephone_number": "909-624-1997",
            "fax_number": "909-624-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF95289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GHC of Claremont LLC
• Giana, LLC
• Nicholas Adam Gih, D.D.S.
• Justin M Giles
• Michelle Leah Ginsberg, DMD
• Herb Glazeroff, PH.D.
• GMC Professional Hospice Care, Inc.
• Kimberly Go
• Goldsmith Psychology, Inc
• Stephanie Goldsmith, PH.D.

• Marriage & Family Therapist in Claremont, CA
• Providers in Claremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.