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

Active since September 30, 2019PECOS Enrolled
2148 VADALABENE DR, MARYVILLE, IL 62062(618) 288-3100(618) 288-3371 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, May 17, 2023, Jan 3, 2020 and 1 more (4 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 Maryville, 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 Address2148 VADALABENE DRMaryville, IL 62062-5632
Mailing Address448 Wylie DrNormal, IL 61761-5405 · (309) 820-3744 · Fax (309) 451-7761
Phone(618) 288-3100
Fax(618) 288-3371
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 30, 2019
Last NPPES UpdateNovember 13, 20234 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ 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)
2148 VADALABENE DR, Maryville, IL 62062
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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)

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 17

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

MISS VICTORIA ANN LISTON BSW, CADC
Social Worker
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
CHESTNUT HEALTH SYSTEMS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
CHESTNUT HEALTH SYSTEMS INC.
Substance Abuse Rehabilitation Facility
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
MRS. REBECCA LEIGH SALAH MA, LCPC
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
NICHOLAS BAUDER APN
Nurse Practitioner (Family)
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
CHESTNUT HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
MR. KOLIN SMITH B.S. CADC
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
MS. JAMIE LEE GARMAN BA,CARS
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100

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 2148 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-3100.

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 November 13, 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.