MR. JONATHAN MICHAEL GLASS


Address: 204 University Blvd, Conway, SC 29526-8834
Phone: 8433492331

MR. JONATHAN MICHAEL GLASS (NPI# 1609085919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609085919
Entity Type Individual
Full Name MR. JONATHAN MICHAEL GLASS
Credential LPC, NCC, CAP
Practice Address 204 University Blvd
Conway
SC 29526-8834
Mailing Address 7057 Birnamwood Court
Myrtle Beach
SC 29579-4209
Practice Telephone 8433492331
Practice Fax Number 8433492898
Mailing Telephone 8439036106
Mailing Fax Number 8433492898
Enumeration Date 2007-05-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101Y00000X Counselor 214764 FL Behavioral Health & Social Service Providers
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
2421L FL Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
4814 SC Behavioral Health & Social Service Providers

Other Providers JONATHAN GLASS

NPI Name Taxonomy Address Enumeration
1487973343 Jonathan Rhodes Glass Dentist 12835 Louetta Rd, Cypress, TX 77429-5207 2010-05-18
1215063805 Jonathan M Glass Acupuncturist Healing Essence Center, 50 Beharrel Street, West Concord, MA 01742 2007-02-26
1164622981 Jonathan Saul Glass Dermatology 1 Medical Center Dr, Dhmc - Dept of Dermatology, Lebanon, NH 03756-1000 2007-07-19
1720196488 Jonathan D Glass Psychiatry & Neurology 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-08-25
1922029388 Jonathan Glass Internal Medicine 1501 Kings Hwy, Department of Medicine, Shreveport, LA 71103-4228 2006-07-21

Office Location

Street Address 204 UNIVERSITY BLVD
City CONWAY
State SC
Zip Code 29526-8834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710136908 Coastal Carolina University Clinic/Center 204 University Blvd, Conway, SC 29526-8834 2008-09-12
1972765477 Jennifer O Kuperman Internal Medicine 204 University Blvd, Conway, SC 29526-8834 2008-06-26
1417144072 Tonya Renell Mckenzie Nurse Practitioner 204 University Blvd, Conway, SC 29526-8834 2007-09-27
1083800858 Coastal Carolina University Student Health Services Clinic/Center 204 University Blvd, Conway, SC 29526-8834 2007-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104442565 Deandriea Bass-carrigan Counselor 1570 Rachel Dr, Conway, AR 72032-8619 2020-06-22
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1609244151 Matthew Spicer Counselor 1051 Hogan Ln, Conway, AR 72034-9126 2015-09-14
1578968988 Pshanda Chante Pugh Counselor 1208 Dunraven Ct, Conway, SC 29527-3170 2014-10-28
1013294560 Susan Ann Mclean Counselor 172 Waccamaw Medical Park Ct, Conway, SC 29526-8965 2011-11-11
1730474560 Pamela Hendrixson Counselor 2159 Prince St, Suite B, Conway, AR 72034-3737 2011-06-09
1174832174 Latoya Bernice Gathers Counselor 1632 9th Ave, Conway, SC 29527-4848 2010-09-25
1700023876 Scarlett Evert Counselor 575 Harkrider St, Conway, AR 72032-5631 2009-01-12
1275722555 Shavonne Renee Richardson Counselor 900c Main St, Suite B, Conway, SC 29526-4025 2007-10-23
1972795458 Jessica E Goodwin Counselor 164 Waccamaw Medical Park, Conway, SC 29526-8903 2007-08-17
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

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.

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