MS. CONNIE GLENN (NPI# 1043732209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043732209 |
| Entity Type | Individual |
| Full Name | MS. CONNIE GLENN |
| Credential | MS, LMFT |
| Practice Address |
721 N Vulcan Ave Ste 106-108 Encinitas CA 92024-2190 |
| Mailing Address |
15010 Avenida Montuosa Apt A San Diego CA 92129-1459 |
| Practice Telephone | 7609428663 |
| Mailing Telephone | 8585251934 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 100516 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073941712 | Connie B Glenn | Technician | 8800 Ackerman Ave, Las Vegas, NV 89143-4426 | 2013-10-16 |
| 1235357443 | Connie Eilene Glenn | Occupational Therapy Assistant | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2007-04-23 |
| Street Address |
721 N VULCAN AVE STE 106-108 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451356 | Erica M Laks | Marriage & Family Therapist | 351 Santa Fe Dr Ste 200, Encinitas, CA 92024-5137 | 2020-09-15 |
| 1639720071 | Tamatha K Earnhart | Marriage & Family Therapist | 721 N Vulcan Ave Ste 210, Encinitas, CA 92024-2191 | 2019-09-26 |
| 1619524501 | Tiffany Triplett | Marriage & Family Therapist | 285 N El Camino Real Ste 219, Encinitas, CA 92024-5385 | 2019-08-25 |
| 1972069128 | Whitney Mclennan | Marriage & Family Therapist | 4407 Manchester Ave Ste 203a, Encinitas, CA 92024-7922 | 2019-02-13 |
| 1417459637 | Jennifer Haskett | Marriage & Family Therapist | 187 Calle Magdalena Ste 203, Encinitas, CA 92024-3709 | 2018-03-03 |
| 1760995807 | Rozanne E Bazinet | Marriage & Family Therapist | 222 W J St, Encinitas, CA 92024-5030 | 2017-11-12 |
| 1316390040 | Ghada Osman | Marriage & Family Therapist | 545 2nd St Ste 1, Encinitas, CA 92024-3542 | 2016-07-18 |
| 1871999771 | Elwyn Wong | Marriage & Family Therapist | 740 Nardo Rd, Encinitas, CA 92024-3827 | 2014-11-05 |
| 1801299748 | Amy Lynn Bell | Marriage & Family Therapist | 130 W E St, Encinitas, CA 92024 | 2014-10-07 |
| 1235553967 | Lola Jordeth | Marriage & Family Therapist | 763 2nd St, Suite 100, Encinitas, CA 92024-4481 | 2014-02-17 |
| Find all providers in ENCINITAS | ||||
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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.