MR. GLEN TIG (NPI# 1013994219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013994219 |
| Entity Type | Individual |
| Full Name | MR. GLEN TIG |
| Credential | LPC |
| Practice Address |
104 Jones Ferry Rd Suite J Carrboro NC 27510-2036 |
| Mailing Address |
1419 Crawford Dairy Rd Unit C Chapel Hill NC 27516-8521 |
| Practice Telephone | 9199420858 |
| Mailing Telephone | 9199291259 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19 | NC | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
2446 | NC | Behavioral Health & Social Service Providers |
| Street Address |
104 JONES FERRY RD SUITE J |
| City | CARRBORO |
| State | NC |
| Zip Code | 27510-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392203 | Gloria Jean Templeton | Psychologist | 104 Jones Ferry Rd, Ste. J, Carrboro, NC 27510 | 2005-08-09 |
| 1700259090 | Visiting Angels of Central North Carolina, Inc. | Home Health | 104 Jones Ferry Rd, Suite A, Carrboro, NC 27510-2036 | 2015-11-09 |
| 1538114533 | Gillian May Corzine | Specialist | 104 Jones Ferry Rd, Carrboro, NC 27510-2036 | 2006-05-24 |
| 1285685404 | Betty Lou Chaika | Counselor | 104 Jones Ferry Rd, Suite F, Carrboro, NC 27510-2036 | 2006-05-12 |
| 1467439661 | North State Consortium for Psychosocial Wellness | Voluntary or Charitable | 104 Jones Ferry Rd, Unit J, Carrboro, NC 27510-2036 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969444 | Megan Simon | Specialist/Technologist | 91 Stadium Drive, Chapel Hill, NC 27510 | 2019-02-21 |
| 1326538109 | Elizabeth Lansing Msw Pllc | Social Worker | 310 E Main St Ste 330, Carrboro, NC 27510 | 2018-05-16 |
| 1699297804 | Rachel Mallory Friel | Optometrist | 200 W Weaver St Ste 1, Carrboro, NC 27510 | 2017-07-10 |
| 1851763585 | Jason Evan Roberts | Marriage & Family Therapist | 105 Fidelity St. (a-51), Carrboro, NC 27510 | 2015-10-21 |
| 1831575109 | Ryan Beechinor | Pharmacist | 101 Manning Drive Cb#7600, Chapel Hill, NC 27510 | 2015-08-10 |
| 1255757977 | Sally Francise Maslansky | Marriage & Family Therapist | 104 Jones Ferry Road, Suite E, Carrboro, NC 27510 | 2014-03-06 |
| 1356688824 | Christopher J Woodward | Pharmacist | 104 Beechwood Drive, Carrboro, NC 27510 | 2013-01-03 |
| 1316201908 | Ailse O'neill | Occupational Therapist | 404 Hillsborough Rd, Carrboro, NC 27510 | 2012-06-27 |
| 1427319839 | Leslie G. Stevens | Counselor | 605 West Main Street, Suite 206, Office E, Carrboro, NC 27510 | 2012-06-01 |
| 1467738138 | Nightingale Nursing Services Inc. | Nursing Care | 200 James St, Carrboro, NC 27510 | 2011-10-26 |
| Find all providers in zip 27510 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962776500 | Roger Alan Jones | Counselor | 605 Jones Ferry Rd Apt Dd6, Carrboro, NC 27510-2142 | 2012-02-29 |
| 1891942066 | Veronica A Hill | Counselor | 400 Roberson Street, Carrboro, NC 27510-2367 | 2008-08-19 |
| 1073649984 | Christy Sullivan | Counselor | 410 N. Greensboro St. S, Suite 220, Carrboro, NC 27510-1870 | 2007-02-26 |
| 1316590805 | Essence N Hairston | Counselor | 410 N Greensboro St, Carrboro, NC 27510-1845 | 2019-07-23 |
| 1396256079 | Ashley Osborne Johnson | Counselor | 410 N Greensboro St, Carrboro, NC 27510-1845 | 2017-10-20 |
| 1225479835 | Shahin Sabouri | Counselor | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2013-07-11 |
| 1376799346 | Program Resource Institute, Inc. | Counselor | 209 Lloyd St, Suite 350, Carrboro, NC 27510-1857 | 2008-08-11 |
| 1932235843 | Beverly Allen | Counselor | 400 Roberson St, Carrboro, NC 27510-2367 | 2007-02-26 |
| 1710030523 | Carol A. Mcclelland | Counselor | 400 Roberson St, Carrboro, NC 27510-2367 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.