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Active NPI 1083985469 Individual Practitioner Male Practitioner

Grover Glenn , LPC, LISAC, CPHQ

Counselor - Professional • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Grover Glenn, LPC, LISAC, CPHQ is a registered healthcare professional specializing in Counselor - Professional in Tucson, AZ. Practice services are available at 2700 S 8TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2700 S 8th Ave

Tucson, AZ 857134730

Telephone 5206188622
Associated Practice Facility / Clinic
🏢 Pasadera Behavioral Health Network, Inc. Facility NPI 1770790172

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
501 Specialists

Practicing in Tucson, AZ (3051 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC11140

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License AZ LISAC10259

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Counseling License
LPC-11140 (AZ)
Commercial Insurance / Payer ID Substance Abuse Counseling License
LISAC-10259 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Margarita Holmes , LPN

Licensed Practical Nurse

NPI 1063879864

Licensed Practical Nurse

Gabriel Bazurto , LISAC

Counselor - Addiction (Substance Use Disorder)

NPI 1295116440

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2015

Registered at 2700 S 8TH AVE, TUCSON, AZ 857134730 (Tel: 5206188622)

📍
Updated Business Mailing Address February 27, 2015

Registered at 2700 S 8TH AVE, TUCSON, AZ 857134730 (Tel: 5206188622)

👤
Provider Name / Credentials Updated February 27, 2015

Recorded as GROVER GLENN, LPC, LISAC, CPHQ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Counselor (License #LISAC10259 in AZ)

🟢
Initial NPI Registration & Enumeration January 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083985469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2012
Last Update: February 27, 2015
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2700 S 8th Ave

Tucson, AZ 857134730

Phone: 5206188622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.