GLEN ILACQUA M.A. NPI 1821416058

NPI Information

  • NPI: 1821416058
  • Provider Name: GLEN ILACQUA, M.A.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 47 WHITE CLIFF DR
    PLYMOUTH, MA
    ZIP 02360
  • Phone: (781) 264-3449

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NPI Details

Glen Ilacqua, M.A. is a mental health counselor in Plymouth, MA. Glen Ilacqua, M.A. NPI is 1821416058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

47 WHITE CLIFF DR
PLYMOUTH, MA
ZIP 02360-009
Phone: (781) 264-3449

The enumeration date for this NPI number is 4/4/2014 and was last updated on 4/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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