JONATHAN GLOVER CCS NPI 1861715690

NPI Information

  • NPI: 1861715690
  • Provider Name: JONATHAN GLOVER, CCS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 703 W 3RD AVE
    #B
    RED SPRINGS, NC
    ZIP 28377
  • Phone: (850) 515-0220

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NPI Details

Jonathan Glover, CCS is an addiction (substance use disorder) counselor in Red Springs, NC. Jonathan Glover, CCS NPI is 1861715690. 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:

703 W 3RD AVE
#B
RED SPRINGS, NC
ZIP 28377-524
Phone: (850) 515-0220
Fax: (850) 515-0260

The enumeration date for this NPI number is 3/8/2010 and was last updated on 8/18/2011.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)603368NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16110583MEDICAIDNORTH CAROLINA

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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