GLENN JOSEPH NELSON JR. MA, LAC, NCC
NPI 1427756261
Counselor - Mental Health in Voorhees, NJ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since February 21, 2023PECOS Enrolled

221 LAUREL RD, VOORHEES, NJ 08043(856) 772-5852 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Glenn Joseph Nelson Jr. Ma, Lac, Ncc NPPES

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

GLENN JOSEPH NELSON JR. MA, LAC, NCC (NPI 1427756261) is an individual mental health provider in Voorhees, New Jersey, licensed in New Jersey (37AC00657800) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427756261

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameGLENN JOSEPH NELSON JR.Credential: MA, LAC, NCC

Location Address221 LAUREL RDVoorhees, NJ 08043-2330

Mailing Address221 Laurel Rd Ste 102Voorhees, NJ 08043-8301 · (856) 772-5809

Phone(856) 772-5852

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 21, 2023

NPPES CertifiedFebruary 21, 2023

✔ NPI 1427756261 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 NJ · 37AC00657800

221 LAUREL RD, Voorhees, NJ 08043

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Joseph Nelson Jr. Ma, Lac, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709389315

PECOS Enrollment IDI20250910003815

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.