STEFFEN GLENN GILLOM PHD, LMFT
NPI 1992670913
Marriage & Family Therapist in Warwick, RI

Active since October 08, 2025Opted out of Medicare · through Mar 24, 2028
643 EAST AVE UNIT 8, WARWICK, RI 02886(401) 310-3856 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 22, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Steffen Glenn Gillom Phd, Lmft NPPES

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

STEFFEN GLENN GILLOM PHD, LMFT (NPI 1992670913) is an individual marriage & family therapist in Warwick, Rhode Island, licensed in Rhode Island (MFT00316) and active in the NPI registry since October 2025. He has opted out of Medicare through March 24, 2028.

NPPES Registry Identity

NPI1992670913
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSTEFFEN GLENN GILLOMCredential: PHD, LMFT
Location Address643 EAST AVE UNIT 8Warwick, RI 02886-0500
Mailing Address643 East Ave Unit 8Warwick, RI 02886-0500 · (401) 310-3856
Sole ProprietorNo
Enumeration DateOctober 8, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1992670913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in RI · MFT00316
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
643 EAST AVE UNIT 8, Warwick, RI 02886

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Steffen Glenn Gillom Phd, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 24, 2026 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2026
Opt-Out In Effect ThroughMarch 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
643 EAST AVE UNIT 8
WARWICK, RI 02886

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 Steffen Gillom's NPI number?

The NPI number for Steffen Gillom is 1992670913. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Steffen Gillom located?

Steffen Gillom practices at 643 East Ave Unit 8, Warwick, RI 02886. The listed phone number is (401) 310-3856.

What is Steffen Gillom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Steffen Gillom enrolled in Medicare?

No. Steffen Gillom has opted out of Medicare through March 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Steffen Gillom accept?

Health plans from Harvard Pilgrim Health Care list Steffen Gillom 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 Steffen Gillom was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.