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MS. GLORIA A JEAN MHC-LP
NPI 1912670878
Counselor - Mental Health in Albany, NY

Active since July 27, 2021PECOS Enrolled
391 MYRTLE AVE STE 3B, ALBANY, NY 12208(518) 262-5401(518) 262-4450 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Gloria A Jean Mhc-lp NPPES

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

MS. GLORIA A JEAN MHC-LP (NPI 1912670878) is an individual mental health provider in Albany, New York, licensed in New York (P110432) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912670878
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. GLORIA A JEANCredential: MHC-LP
Location Address391 MYRTLE AVE STE 3BAlbany, NY 12208-3835
Mailing Address20 Crescent Creek WaySelkirk, NY 12158-1260 · (518) 573-8333
Phone(518) 262-5401
Fax(518) 262-4450
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1912670878 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 NY · P110432
391 MYRTLE AVE STE 3B, Albany, NY 12208
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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)

Ms. Gloria A Jean Mhc-lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345711073
PECOS Enrollment IDI20260603004190
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 4

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

ALAYNA KAISER
Nurse Practitioner
391 MYRTLE AVE STE 3B
ALBANY, NY 12208
Albany County (518) 262-5401
COURTNEY WILLIS MD
Pediatrics
391 MYRTLE AVE STE 3B
ALBANY, NY 12208
Albany County (518) 262-5588
MRS. ASHLEY FUSCO
Social Worker
391 MYRTLE AVE STE 3B
ALBANY, NY 12208
Albany County (518) 264-2060
DR. ALEEYA HEALEY M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
391 MYRTLE AVE STE 3B
ALBANY, NY 12208
Albany County (518) 264-5401

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 Gloria Jean's NPI number?

The NPI number for Gloria Jean is 1912670878. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Gloria Jean located?

Gloria Jean practices at 391 Myrtle Ave Ste 3B, Albany, NY 12208. The listed phone number is (518) 262-5401.

What is Gloria Jean's specialty?

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

Is Gloria Jean enrolled in Medicare?

Yes. Gloria Jean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gloria Jean was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.