KEVIN LLOYD GLENN (NPI# 1730539024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730539024 |
| Entity Type | Individual |
| Full Name | KEVIN LLOYD GLENN |
| Credential | LAC |
| Practice Address |
1424 S Stapley Dr Mesa AZ 85204-5877 |
| Practice Telephone | 4808927403 |
| Practice Fax Number | 4808926701 |
| Mailing Telephone | 4808927403 |
| Mailing Fax Number | 4808926701 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-15190 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790266807 | Kevin Michael Glenn | Counselor | 659 Abrego St Ste 3, Monterey, CA 93940-3238 | 2018-08-27 |
| 1952749947 | Kevin A Glenn | Physician Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2013-06-12 |
| 1801811005 | Kevin Scott Glenn | Chiropractor | 23341 Golden Springs Dr Ste 202, Diamond Bar, CA 91765-2054 | 2006-07-12 |
| 1972591402 | Kevin A Glenn | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-10 |
| Street Address |
1424 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833644 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-11-02 |
| 1952888075 | Rachel Weinstock | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2018-07-21 |
| 1326538711 | Mary Kristene Thompson | Counselor | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2018-05-11 |
| 1962939025 | Garrett Weston Bedford | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2017-05-18 |
| 1831580810 | Anasazi Foundation | Substance Abuse Rehabilitation Facility | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2015-02-11 |
| 1417214263 | Sulay Tovar | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2012-04-18 |
| 1497021828 | Nathan Mitchell | Counselor | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2012-03-29 |
| 1699918862 | Tally Iskovitz | Counselor | 1424 S Stapley Dr, Anasazi Foundation - San Tan Counseling, Mesa, AZ 85204-5877 | 2009-04-17 |
| 1710055934 | Rosemary Case | Social Worker | 1424 S Stapley Dr, Mesa, AZ 85204-5877 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
| 1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
| 1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
| 1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
| 1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
| 1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| Find all providers in MESA | ||||
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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.