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KRISTIN GLENN LPC
NPI 1760915227
Counselor - Mental Health in Carbondale, IL

Active since April 11, 2017PECOS Enrolled
1257 E WALNUT ST, SUITE 1, CARBONDALE, IL 62901(618) 351-9700(618) 351-9701 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Glenn Lpc NPPES

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

KRISTIN GLENN LPC (NPI 1760915227) is an individual mental health provider in Carbondale, Illinois, licensed in Illinois (178012387) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760915227
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN GLENNCredential: LPC
Location Address1257 E WALNUT ST, SUITE 1Carbondale, IL 62901-5002
Mailing Address1257 E Walnut St, Suite 1Carbondale, IL 62901-5002 · (618) 351-9700 · Fax (618) 351-9701
Phone(618) 351-9700
Fax(618) 351-9701
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2017
✔ NPI 1760915227 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 IL · 178012387
1257 E WALNUT ST, Carbondale, IL 62901
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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)

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

PECOS PAC ID9032681085
PECOS Enrollment IDI20260610004392
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 3

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

MS. VALERIE KASTEN M.ED., LCPC, RPT, NC
Counselor (Professional)
1257 E WALNUT ST, SUITE 1
CARBONDALE, IL 62901
Jackson County (618) 351-9700
KIDS' CORNERSTONE, LLC- A COUNSELING CENTER
Clinic/Center (Adolescent and Children Mental Health)
1257 E WALNUT ST, SUITE 1
CARBONDALE, IL 62901
Jackson County (618) 351-9700
LISA CHRISTESON LPC, NCC
Counselor
1257 E WALNUT ST, #1
CARBONDALE, IL 62901
Jackson County (618) 351-9700

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 Kristin Glenn's NPI number?

The NPI number for Kristin Glenn is 1760915227. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Kristin Glenn located?

Kristin Glenn practices at 1257 E Walnut St Suite 1, Carbondale, IL 62901. The listed phone number is (618) 351-9700.

What is Kristin Glenn's specialty?

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

Is Kristin Glenn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristin Glenn was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.