Individual provider Active NPI

Amber T Glavor, MA, LMFT

  • Marriage & Family Therapist
  • La Grange, IL
National Provider Identifier
1972881092
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001250 Issued in IL
Practice address
521 S la Grange Rd
La Grange, IL 60525-6700
Phone
(815) 690-6566
NPI assigned
Jul 22, 2011
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86584 CA
Marriage & Family Therapist 106H00000X 166001250 IL Primary

Addresses

Primary practice location

521 S la Grange Rd
La Grange, IL 60525-6700

Mailing address

2003 S Austrian Pine St
Lockport, IL 60441-3879
Phone (815) 690-6566

Other practice location 1

280 Shuman Blvd
Naperville, IL 60563-8492
Phone (866) 729-1012 ext. 1101

Other practice location 2

13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone (818) 267-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
86584CAMDMarriage & Family Therapist
166001250ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1972881092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 S AUSTRIAN PINE ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413879",
            "telephone_number": "815-690-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256700",
            "telephone_number": "815-690-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Shuman Blvd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638492",
            "country_code": "US",
            "telephone_number": "866-729-1012 x1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016037",
            "country_code": "US",
            "telephone_number": "818-267-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAVOR",
        "first_name": "AMBER",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86584",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.