MRS. CONNIE MARIE GLASCO (NPI# 1790905107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905107 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE MARIE GLASCO |
| Credential | LPC |
| Practice Address |
501 East 2nd St Heavener OK 74937 |
| Mailing Address |
40479 Morris Creek Rd Howe OK 74940-7364 |
| Practice Telephone | 9186537718 |
| Practice Fax Number | 9186537279 |
| Mailing Telephone | 9186583891 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 599 | OK | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
599 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LPC | 599 | 01 |
| Street Address |
501 EAST 2ND ST |
| City | HEAVENER |
| State | OK |
| Zip Code | 74937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356722813 | Teri Box | Counselor | 50407 Walker Mtn. Rd., Heavener, OK 74937 | 2015-06-10 |
| 1356729081 | Allison Craig | Speech-Language Pathologist | East Ave G & 4th Street, Heavener, OK 74937 | 2015-05-14 |
| 1912398751 | Jessica Steelman | Case Manager/Care Coordinator | 50407 Walker Mtn Rd, Heavener, OK 74937 | 2015-02-16 |
| 1669632667 | Tina G Wiles | Registered Nurse | 501 East Second Street, Heavener, OK 74937 | 2008-06-12 |
| 1225135544 | Heavener Public School (lea) | Public Health or Welfare | West 2nd and Avenue C, Heavener, OK 74937-0698 | 2006-09-20 |
| 1285634543 | Vista Nursing Home Inc | Skilled Nursing Facility | 114 W 2nd St, Heavener, OK 74937-2002 | 2005-07-28 |
| 1427068923 | K. & C. Care, LLC | Nursing Facility/Intermediate Care Facility | 204 W 1st St, Heavener, OK 74937-2062 | 2006-08-08 |
| 1174941496 | Heavener Manor, LLC | Skilled Nursing Facility | 204 W 1st St, Heavener, OK 74937-2062 | 2014-04-03 |
| 1568649887 | Affordable After Hours Healthcare | Clinic/Center | 714 Highway 59 N, Heavener, OK 74937-2252 | 2008-01-29 |
| 1295708121 | Melinda Faye Scantling | Nurse Practitioner | 714 Highway 59 N, Heavener, OK 74937-2253 | 2006-02-10 |
| Find all providers in zip 74937 | ||||
| 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 |
|---|---|---|---|---|
| 1134493331 | Marilyn Presley | Counselor | 503 W Avenue D, Heavener, OK 74937-2803 | 2012-03-06 |
| 1154608164 | Connie M Ray | Counselor | 123 E Avenue C Ste B, Heavener, OK 74937-2603 | 2011-11-05 |
| 1003386418 | A Plus Care Program LLC | Counselor | 123 E Avenue C, Heavener, OK 74937-2603 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1881200558 | Nichole Rae Krausch | Counselor | 1507 S Mckenna St, Poteau, OK 74953-5207 | 2020-09-18 |
| 1467068098 | Mckenzie Mcguffee | Counselor | 717 Briarcrest Dr, Midwest City, OK 73110-1619 | 2020-09-18 |
| 1629683727 | Mason Counseling Services | Counselor | 12718 E 77th Pl N, Owasso, OK 74055-7938 | 2020-09-15 |
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1982214292 | Tera Dee Robbins | Counselor | 1002 Cambell Street, Warner, OK 74469 | 2020-08-03 |
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1043829278 | Tracy Nanette Mckeown | Counselor | 1777 S Yukon Pkwy, Yukon, OK 73099-4599 | 2020-07-23 |
| 1063039915 | Sarah Nicole Hawthorne | Counselor | 12834 S Old Highway 169, Oologah, OK 74053-3333 | 2020-06-26 |
| 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.