Individual provider Active NPI

Anisa Glowczak, LPC, NCC, GC-C, PT-C

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1972965184
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3630 S Plaza TRL
Suite 210-C
Virginia Beach, VA 23452-3300
Phone
(757) 572-4609
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3630 S Plaza TRL
Suite 210-C
Virginia Beach, VA 23452-3300

Mailing address

3630 S Plaza TRL
Suite 210-C
Virginia Beach, VA 23452-3300
Phone (757) 572-4609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240806000191 VA Practitioner - Mental Health Counselor 8325585573 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3630 S Plaza TRL
210C
Virginia Beach, VA 23452-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good Mourning Counseling & Consulting LLC PastSince May 18, 2024 Accepting new patients
Anchor Counseling and Wellness, LLC PastSince Sep 4, 2024 Accepting new patients

Organizations & group practices 2

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1972965184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL",
            "address_2": "SUITE 210-C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523300",
            "telephone_number": "757-572-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL",
            "address_2": "SUITE 210-C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523300",
            "telephone_number": "757-572-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWCZAK",
        "first_name": "ANISA",
        "credential": "LPC, NCC, GC-C, PT-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.