MARAISA SHIRA GLASS
NPI 1518623255
Peer Specialist in Los Angeles, CA

Active since November 16, 2021
840 N AVENUE 66, LOS ANGELES, CA 90042(310) 422-2465 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 13, 2026, Nov 1, 2023, Nov 16, 2021 (3 updates tracked since 2021).

About Maraisa Shira Glass NPPES

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

MARAISA SHIRA GLASS (NPI 1518623255) is an individual peer specialist in Los Angeles, California, licensed in California (MPSS-PKTDJZ) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1518623255
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARAISA SHIRA GLASS
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing Address840 N Avenue 66Los Angeles, CA 90042-1508 · (626) 395-7100
Sole ProprietorNo
Enumeration DateNovember 16, 2021
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1518623255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-PKTDJZ
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
840 N AVENUE 66, Los Angeles, CA 90042

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Social Worker
840 N AVENUE 66
LOS ANGELES, CA 90042
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042

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 Maraisa Glass's NPI number?

The NPI number for Maraisa Glass is 1518623255. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Maraisa Glass located?

Maraisa Glass practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (310) 422-2465.

What is Maraisa Glass's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Maraisa Glass was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.