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Deactivated NPI 1194023200 Deactivated / Inactive NPI Male Practitioner

Glen Brown

Counselor • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glen Brown has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2011
NPI Deactivation Date July 19, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Glen Brown was a registered Counselor practicing in Riverside, CA. Throughout an active medical career spanning 12 years, Glen Brown provided care at the practice location at 5870 ARLINGTON AVE until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

5870 Arlington Ave
Suite 103

Riverside, CA 925042037

Telephone 9516836596
Fax 9516834239
Associated Practice Facility / Clinic
🏢 Mfi Recovery Center Facility NPI 1487716619

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
234 Specialists

Practicing in Riverside, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jamika Jackson

Licensed Psychiatric Technician

NPI 1003372772
Dorene Cahill

Counselor

NPI 1013286426
NPI 1013338284

CATCI

Seleste Lozano

Counselor - Professional

NPI 1013508019
Rubie Franklin , MFTT

Marriage & Family Therapist

NPI 1023200136
Samantha Duro , RADT1

Counselor - Addiction (Substance Use Disorder)

NPI 1023526902

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active March 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2011

Registered at 5870 ARLINGTON AVE, SUITE 103, RIVERSIDE, CA 925042037 (Tel: 9516836596)

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Updated Business Mailing Address March 14, 2011

Registered at 5870 ARLINGTON AVE, SUITE 103, RIVERSIDE, CA 925042037 (Tel: 9516836596)

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Provider Name / Credentials Updated March 14, 2011

Recorded as GLEN BROWN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2011

Counselor

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Initial NPI Registration & Enumeration March 14, 2011

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: 1194023200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2011
Last Update: March 14, 2011
Deactivation Date: July 19, 2023

Mailing Address

5870 Arlington Ave, Suite 103

Riverside, CA 925042037

Phone: 9516836596

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.