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CAROLYN R. GLOCK MA, LMHC
NPI 1043749088
Counselor - Mental Health in North Webster, IN

Active since June 05, 2017Opted out of Medicare · through Jan 17, 2028
225 N. MAIN ST. SUITE 5, NORTH WEBSTER, IN 46555(574) 834-1393(833) 527-8322 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2019, Jun 5, 2017 (2 updates tracked since 2017).

About Carolyn R. Glock Ma, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN R. GLOCK MA, LMHC (NPI 1043749088) is an individual mental health provider in North Webster, Indiana, licensed in Indiana (39003556A) and active in the NPI registry since June 2017. She has opted out of Medicare through January 17, 2028 and maintains a secondary practice location in Columbia City.

NPPES Registry Identity

NPI1043749088
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN R. GLOCKCredential: MA, LMHC
Location Address225 N. MAIN ST. SUITE 5North Webster, IN 46555-0751
Mailing AddressPo Box 751Warsaw, IN 46581-0751 · (574) 834-1393 · Fax (833) 527-8322
Phone(574) 834-1393
Fax(833) 527-8322
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration
✔ NPI 1043749088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39003556A
225 N. MAIN ST. SUITE 5, North Webster, IN 46555
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Secondary Practice Location 1

Location 1119 W Market StColumbia City, IN 46725-2311 · Phone (260) 248-8176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn R. Glock Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2024 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2024
Opt-Out In Effect ThroughJanuary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Glock's NPI number?

The NPI number for Carolyn Glock is 1043749088. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Carolyn Glock located?

Carolyn Glock practices at 225 N. Main St. Suite 5, North Webster, IN 46555. The listed phone number is (574) 834-1393.

What is Carolyn Glock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carolyn Glock enrolled in Medicare?

No. Carolyn Glock has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Carolyn Glock accept?

Health plans from UnitedHealthcare list Carolyn Glock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Glock was last updated on August 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.