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MR. GLEN EDWARD TISDALE LPC
NPI 1851843437
Counselor - Mental Health in San Antonio, TX

Active since October 28, 2016
4235 VALLEYFIELD ST, SAN ANTONIO, TX 78222(210) 709-5848 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Oct 28, 2016 (2 updates tracked since 2016).

About Mr. Glen Edward Tisdale Lpc NPPES

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

MR. GLEN EDWARD TISDALE LPC (NPI 1851843437) is an individual mental health provider in San Antonio, Texas, licensed in Texas (73414) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1851843437
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GLEN EDWARD TISDALECredential: LPC
Location Address4235 VALLEYFIELD STSan Antonio, TX 78222-3714
Mailing Address4235 Valleyfield StSan Antonio, TX 78222-3714 · (210) 709-5848
Phone(210) 709-5848
Sole ProprietorYes
Enumeration DateOctober 28, 2016
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1851843437 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 TX · 73414
Also ListedCounselorTaxonomy 101Y00000X · License 73414 (TX)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 73414 (TX)
4235 VALLEYFIELD ST, San Antonio, TX 78222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Glen Tisdale's NPI number?

The NPI number for Glen Tisdale is 1851843437. It was assigned to this individual provider in the NPPES registry on October 28, 2016.

Where is Glen Tisdale located?

Glen Tisdale practices at 4235 Valleyfield St, San Antonio, TX 78222. The listed phone number is (210) 709-5848.

What is Glen Tisdale's specialty?

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

What insurance does Glen Tisdale accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Glen Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Tisdale was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.