KELLY GLENN
NPI 1376315200
Counselor - Professional in Castle Rock, CO
About Kelly Glenn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY GLENN (NPI 1376315200) is an individual professional provider in Castle Rock, Colorado, licensed in Colorado (0019858) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Glenn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 Kelly Glenn's NPI number?
The NPI number for Kelly Glenn is 1376315200. It was assigned to this individual provider in the NPPES registry on October 24, 2023.
Where is Kelly Glenn located?
Kelly Glenn practices at 4775 Stony Mesa Ct, Castle Rock, CO 80108. The listed phone number is (720) 284-2485.
What is Kelly Glenn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Glenn enrolled in Medicare?
Yes. Kelly Glenn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kelly Glenn was last updated on October 24, 2023. 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.
# Kelly Glenn · NPI 1376315200
Professional provider in Castle Rock, Colorado. Individual provider, active in the CMS NPPES registry since October 24, 2023.
## Identity
- **NPI:** 1376315200 (Entity type: Individual)
- **Enumerated:** October 24, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0019858 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4775 STONY MESA CT, Castle Rock, CO 80108-7426
- **Phone:** (720) 284-2485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376315200) · Data from the CMS NPPES public registry.