Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERRY GLENN
NPI 1699316877
Counselor - Mental Health in Belleville, IL

Active since September 30, 2019PECOS Enrolled
12 N 64TH ST, BELLEVILLE, IL 62223(618) 887-4420(618) 397-0093 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Nov 13, 2023, May 17, 2023 and 2 more (5 updates tracked since 2019).

About Terry Glenn NPPES

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

TERRY GLENN (NPI 1699316877) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (178.011987) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699316877
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERRY GLENN
Location Address12 N 64TH STBelleville, IL 62223-3808
Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (888) 924-3786
Fax(618) 397-0093
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 30, 2019
Last NPPES UpdateSeptember 24, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1699316877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.011987
Also ListedCounselorTaxonomy 101Y00000X · License 178.001987 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.011987 (IL)
12 N 64TH ST, Belleville, IL 62223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Glenn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739524158
PECOS Enrollment IDI20240226001270
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.

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.

Counselor
12 N 64TH ST
BELLEVILLE, IL 62223
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
Counselor (Professional)
12 N 64TH ST
BELLEVILLE, IL 62223
Registered Nurse (Psychiatric/Mental Health, Adult)
12 N 64TH ST
BELLEVILLE, IL 62223
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
Counselor (Mental Health)
12 N 64TH ST
BELLEVILLE, IL 62223
Nurse Practitioner (Family)
12 N 64TH ST
BELLEVILLE, IL 62223

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 Terry Glenn's NPI number?

The NPI number for Terry Glenn is 1699316877. It was assigned to this individual provider in the NPPES registry on September 30, 2019.

Where is Terry Glenn located?

Terry Glenn practices at 12 N 64th St, Belleville, IL 62223. The listed phone number is (618) 887-4420.

What is Terry Glenn's specialty?

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

Is Terry Glenn enrolled in Medicare?

Yes. Terry Glenn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Terry Glenn was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.