XIOMARA GLAZE
NPI 1174217764
Counselor - Professional in Chester, VA
About Xiomara Glaze NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
XIOMARA GLAZE (NPI 1174217764) is an individual professional provider in Chester, Virginia, licensed in Virginia (0701011846) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Xiomara Glaze is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Xiomara Glaze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23219
- Reassigned Medicare billing, Virginia enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Xiomara Glaze's NPI number?
The NPI number for Xiomara Glaze is 1174217764. It was assigned to this individual provider in the NPPES registry on June 6, 2023.
Where is Xiomara Glaze located?
Xiomara Glaze practices at 12300 Rock Hill Rd #3411, Chester, VA 23831. The listed phone number is (516) 508-0145.
What is Xiomara Glaze's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Xiomara Glaze enrolled in Medicare?
Yes. Xiomara Glaze is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Xiomara Glaze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Xiomara Glaze reassigns Medicare benefits to Richmond Behavioral Health Authority (Richmond, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Xiomara Glaze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Xiomara Glaze was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Xiomara Glaze · NPI 1174217764
Professional provider in Chester, Virginia. Individual provider, active in the CMS NPPES registry since June 6, 2023.
## Identity
- **NPI:** 1174217764 (Entity type: Individual)
- **Enumerated:** June 6, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701011846 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12300 ROCK HILL RD #3411, Chester, VA 23831-1308
- **Phone:** (516) 508-0145
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Richmond Behavioral Health Authority (NPI 1184715328, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174217764) · Data from the CMS NPPES public registry.