MS. HEATHER LYNN GLENN (NPI# 1982833729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982833729 |
| Entity Type | Individual |
| Full Name | MS. HEATHER LYNN GLENN |
| Credential | LPC |
| Practice Address |
2596 E Barnett Rd Ste B Medford OR 97504-4340 |
| Practice Telephone | 5414144456 |
| Mailing Telephone | 5034128868 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C4456 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1952460636 | Heather K Glenn | Nurse Practitioner | 400 Bald Hill Rd Ste 520, Warwick, RI 02886-1692 | 2006-12-08 |
| 1487160719 | Heather Glenn | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2017-12-22 |
| 1477807642 | Heather Anne Glenn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2012-11-09 |
| 1740503127 | Heather L Glenn | Physical Therapy Assistant | 132 Newport Towne Ctr, Newport, TN 37821-7360 | 2010-03-12 |
| 1790865152 | Heather Glenn | Counselor | 1512 Scripture St, Denton, TX 76201-3916 | 2006-10-17 |
| Street Address |
2596 E BARNETT RD STE B |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382472 | Epiphany Corporation | Counselor | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2017-12-15 |
| 1528585882 | Cristina Janine Lapat | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2017-08-28 |
| 1235591637 | Jennifer Lynn Larson | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504-4340 | 2016-03-24 |
| 1295100766 | Rogue Health LLC | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504 | 2015-12-09 |
| 1699052001 | Therese Holliday | Massage Therapist | 2596 E Barnett Rd Ste B, Medford, OR 97504 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911091 | Araceli Olivares Mciff | Counselor | 201 W 6th St Ste 101, Medford, OR 97501-2708 | 2020-08-04 |
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1326674417 | Jean Yih Kingston | Counselor | Dcs Mental Health Medford, 151 Mystic Avenue, Medford, MA 02155-4632 | 2020-03-20 |
| 1063059228 | Chiron Center Incorporated | Counselor | 2909 N Phoenix Rd, Medford, OR 97504-9490 | 2019-12-06 |
| 1790321784 | Cassandra F Lawrence | Counselor | 1503 Race Ave, Medford, NY 11763-1859 | 2019-11-25 |
| 1427691955 | Claire Elizabeth Ann Vos | Counselor | 807 Impala Dr, Medford, WI 54451-1206 | 2019-10-28 |
| 1033768718 | Hope Koram | Counselor | 15 Carberry St, Medford, MA 02155-1804 | 2019-09-05 |
| 1649767203 | Kerry Ellis | Counselor | 190 High St Apt 210, Medford, MA 02155-3810 | 2018-04-19 |
| 1942701271 | Winding Tree Counseling Services LLC | Counselor | 916 W 10th St Ste 100, Medford, OR 97501-3018 | 2018-02-22 |
| Find all providers in MEDFORD | ||||
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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.