KEVIN LLOYD GLENN LAC
NPI 1730539024
Counselor - Mental Health in Mesa, AZ

Active since June 16, 2016
1424 S STAPLEY DR, MESA, AZ 85204(480) 892-7403(480) 892-6701 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Lloyd Glenn Lac NPPES

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

KEVIN LLOYD GLENN LAC (NPI 1730539024) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-15190) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1730539024
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN LLOYD GLENNCredential: LAC
Location Address1424 S STAPLEY DRMesa, AZ 85204-5877
Mailing Address1424 S Stapley DrMesa, AZ 85204-5877 · (480) 892-7403 · Fax (480) 892-6701
Fax(480) 892-6701
Sole ProprietorNo
Enumeration DateJune 16, 2016
NPI 1730539024 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 AZ · LAC-15190
1424 S STAPLEY DR, Mesa, AZ 85204

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
1424 S STAPLEY DR
MESA, AZ 85204
Social Worker (Clinical)
1424 S STAPLEY DR
MESA, AZ 85204
Counselor (Mental Health)
1424 S STAPLEY DR
MESA, AZ 85204
Psychiatric Residential Treatment Facility
1424 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1424 S STAPLEY DR, ANASAZI FOUNDATION - SAN TAN COUNSELING
MESA, AZ 85204
Social Worker (Clinical)
1424 S STAPLEY DR
MESA, AZ 85204
Substance Abuse Rehabilitation Facility
1424 S STAPLEY DR
MESA, AZ 85204
Social Worker
1424 S STAPLEY DR
MESA, AZ 85204

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 Kevin Glenn's NPI number?

The NPI number for Kevin Glenn is 1730539024. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Kevin Glenn located?

Kevin Glenn practices at 1424 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (480) 892-7403.

What is Kevin Glenn's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Glenn was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.