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GLASS HOUSE COUNSELING LLC
NPI 1891231163
Social Worker - Clinical in Mesa, AZ

Active since January 11, 2017
4111 E VALLEY AUTO DR, SUITE 201, MESA, AZ 85206(480) 519-5256 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glass House Counseling Llc NPPES

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

GLASS HOUSE COUNSELING LLC (NPI 1891231163) is a healthcare organization registered as a clinical in Mesa, Arizona and active in the NPI registry since January 2017. The organization lists Marisa Marvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1891231163
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGLASS HOUSE COUNSELING LLC
Location Address4111 E VALLEY AUTO DR, SUITE 201Mesa, AZ 85206-4605
Mailing Address4150 E Sierra Madre AveGilbert, AZ 85296-3084
Phone(480) 519-5256
Organization SubpartNo
Authorized OfficialMarisa MarvinOwner · (480) 519-5256
Enumeration DateJanuary 11, 2017
✔ NPI 1891231163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · 15935
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4111 E VALLEY AUTO DR, Mesa, AZ 85206
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Other Identifiers 1

Other15935AZ · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glass House Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glass House Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marisa Marvin, LCSW
Clinical Social Worker
NPI 1831633049
1255 W BASELINE RD STE B258
Mesa, AZ 85202
(480) 284-3271
✔ PECOS✔ Accepts Medicare6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Glass House Counseling LLC's NPI number?

The NPI number for Glass House Counseling LLC is 1891231163. It was assigned to this organization in the NPPES registry on January 11, 2017.

Where is Glass House Counseling LLC located?

Glass House Counseling LLC is located at 4111 E Valley Auto Dr Suite 201, Mesa, AZ 85206. The listed phone number is (480) 519-5256.

What is Glass House Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Glass House Counseling LLC enrolled in Medicare?

Yes. Glass House Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glass House Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Glass House Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glass House Counseling LLC was last updated on January 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.