Lejon D. Glover, CTC, CHT

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2305 Ashby Ave
Berkeley, CA 94705-1909

Phone

(510) 610-1772

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

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)

Not enrolled

Practice roles

Locations

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.

• Virgo International Partners

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1275353351
  NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1972301489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8483 ASTER AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054103",
            "telephone_number": "510-610-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051909",
            "telephone_number": "510-610-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8483 Aster Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054103",
            "country_code": "US",
            "telephone_number": "510-610-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LEJON",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "CTC, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jean Gleason, PSY.D.
• Shari Gleicher, LCSW
• James Rubin Glenn
• Amy Glick, LMFT
• Melinda E. Glines, MD
• William C. Glover, PHD
• Michelle Goddard, RADT-I
• Andrea Godinez
• Tyler Godsy, M.S., BCBA
• Puja Shiv Goel, O.D.

• Health & Wellness Coach in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.