MR. GLENN DOUGLAS SMITH (NPI# 1447564869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447564869 |
| Entity Type | Individual |
| Full Name | MR. GLENN DOUGLAS SMITH |
| Other Name | EARL LEE SMITH |
| Credential | MS, LPCC, LADC |
| Practice Address |
1313 Penn Ave N Minneapolis MN 55411-3047 |
| Practice Telephone | 6125433742 |
| Practice Fax Number | 6123024872 |
| Mailing Telephone | 7637466553 |
| Mailing Fax Number | 6123024872 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2020-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
41-1303326 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871702183 | Glenn Alan Smith | Recreation Therapist | 88 Circle Dr, Millington, NJ 07946-1708 | 2007-05-22 |
| 1881733426 | Glenn Owen Smith | Dentist | 21320 Hawthorne Blvd Ste 202, Torrance, CA 90503-5668 | 2007-02-06 |
| 1588624928 | Glenn F Smith | Chiropractor | 418 W. Meadows Dr, Freeport, IL 61032 | 2006-03-27 |
| 1861976599 | Glenn Smith | Counselor | 1 Leo Moss Dr Ste 4308, Olean, NY 14760-1100 | 2018-09-19 |
| 1508060062 | Glenn Bona Smith | Physical Therapist | 170 N 1100 E, American Fork, UT 84003-2096 | 2007-06-11 |
| 1649391467 | Glenn Smith | Dentist | 108 N Main St, Montpelier, IN 47359-1132 | 2007-04-02 |
| 1124160288 | Glenn Edward Smith | Registered Nurse | 1431 Sw 1st Avenue, Ocala, FL 34471 | 2007-02-13 |
| 1023156684 | Glenn C Smith Jr. | Pharmacist | 9080 Brooks Rd S, Windsor, CA 95492-7811 | 2007-02-02 |
| 1295842409 | Glenn A Smith | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241 | 2006-08-24 |
| 1992717995 | Glenn Paul Smith | Psychologist | 13000 Bruce B Downs Blvd, 116a, Tampa, FL 33612-4745 | 2006-08-12 |
| Street Address |
1313 PENN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095627 | Brownell Mack IIi | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2005-12-27 |
| 1831755776 | Maisee Moua-mcdaniel | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-05-16 |
| 1548723364 | Zadok Nampala | Social Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-04-09 |
| 1013477348 | Lanette Howze | Community Health Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-03-22 |
| 1043792666 | John Gatermann | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-30 |
| 1346729308 | Safiya Ahmed Abdullahi | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-10 |
| 1720576788 | Rachel Marie Freyberger | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-04-25 |
| 1902316821 | Vivian Ballah-swaray | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-10-05 |
| 1578080537 | Dal Vang Xiong | Registered Nurse | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-08-29 |
| 1184164337 | Shakeyla Barber | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
| 1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
| 1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
| 1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
| 1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on MR. GLENN DOUGLAS SMITH.
| 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.