Southern Valley Psychology Clinic, PA
NPI 1407990807ActiveOrganization· Counselor, Professional· Mankato, MN
Counselor, Professional in Mankato, Minnesota, registered in NPPES in February 2007. The authorized official on file is Barbara Glass, PSY.D..,L.P., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407990807 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2007 |
| Last updated in NPPES | Feb 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Counselor, Professional providers in Mankato
- 1457304941
- 1477423002
- 1114763257
- 1659241289
- 1740150374
- 1871281378
- 1891321253
- 1407193766
- 1588056162
- 1619557543
- 1700340171
- 1831937929