Active NPI
Virginia ---- Gleghorn, LPC
- Professional Counselor
- Nacogdoches, TX
National Provider Identifier
1982783387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10899
- Practice address
- 903 North St
Nacogdoches, TX 75961-4479 - Phone
- (936) 564-4064
- Fax
- (936) 564-1570
- NPI assigned
- Nov 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10899 | TX | Primary |
Addresses
Primary practice location
903 North St
Nacogdoches, TX 75961-4479
Mailing address
181 County Road 524
Nacogdoches, TX 75964-8318
Phone (936) 560-3452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0954406 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10899 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Counseling PLLC | Past | Accepting new patients | |
| Samaritan Counseling Center of East TX, Inc | Past | 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.
-
- Counselor
- Colleyville, TX
- NPI 1962072041
-
- Mental Health Counselor
- Nacogdoches, TX
- NPI 1841392727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982783387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 COUNTY ROAD 524",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759648318",
"telephone_number": "936-560-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614479",
"telephone_number": "936-564-4064",
"fax_number": "936-564-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEGHORN",
"first_name": "VIRGINIA",
"middle_name": "----",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0954406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.