TERRY GLENN (NPI# 1699316877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699316877 |
| Entity Type | Individual |
| Full Name | TERRY GLENN |
| Practice Address |
2148 Vadalabene Dr Maryville IL 62062-5632 |
| Mailing Address |
448 Wylie Dr Normal IL 61761-5405 |
| Practice Telephone | 6182883100 |
| Practice Fax Number | 6182883371 |
| Mailing Telephone | 3098203744 |
| Mailing Fax Number | 3094517761 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178.001987 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178.011987 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215237 | Terry Glenn | Occupational Therapist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-10-31 |
| Street Address |
2148 VADALABENE DR |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801002142 | Mackenzie R Pherigo | Social Worker | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2007-05-15 |
| 1144750605 | Rebecca Leigh Salah | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2017-06-18 |
| 1649726340 | William Michael Weiss I | Registered Nurse | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-09-01 |
| 1497115315 | Kolin Smith | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-03-04 |
| 1750740544 | Larry Copp | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-02-22 |
| 1750719142 | Courtney L Hupp | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2013-10-22 |
| 1568719797 | Daniel Douglas Hutchison | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-08-07 |
| 1952677510 | Tracey Sue Pearson | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-03-28 |
| 1518232891 | Jamie Lee Garman | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-03-20 |
| 1033484449 | Victoria Ann Liston | Social Worker | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558738559 | Dustin James Harvey | Counselor | 1048 Willow Creek Cir, Maryville, TN 37804-3569 | 2015-08-25 |
| 1942270277 | Kristen Annette Peltz | Counselor | 2416 S Main St, Maryville, MO 64468-3624 | 2006-01-26 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1063030278 | Stephanie Moncrief | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-14 |
| 1689292567 | Rachelle Leigh Bennett Baker | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-08 |
| 1093330037 | Bryon Edward Hart | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-06-16 |
| 1326679721 | Hillary Stephens Hays | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-02-04 |
| 1558992768 | Becki Grace Livingston | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-01-28 |
| 1750936639 | Lauren Ashley Erdman | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2019-08-07 |
| 1033672928 | Emily Osborne | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2019-04-09 |
| Find all providers in MARYVILLE | ||||
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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.