Glenn Anthony Niles Jr., LPC
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2017
- Practice address
- 4039 Gateway Blvd, Grovetown, GA 30813-3389
- Practice phone
- Call (706) 498-9570
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lifestance Health
Behavioral health practice · Grovetown, Georgia
Find Glenn Niles' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Glenn Anthony Niles Jr. is a professional counselor in Grovetown, Georgia
Glenn Niles practices at Lifestance Health in Grovetown, Georgia.
Glenn Niles' NPI, 1477065720, was assigned on October 26, 2017. Glenn Niles holds Georgia license LPC009918.
- NPI
- 1477065720NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0749707362
- NPI enumeration date
- October 26, 2017
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (706) 498-9570
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 53
- Medical school graduation
- 1999
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Glenn Anthony Niles Jr. practices at Lifestance Health in Grovetown, Georgia
Glenn Niles' primary practice is Lifestance Health, at 4039 Gateway Blvd, Grovetown, GA 30813-3389. The practice phone is (706) 498-9570.
- Lifestance Health4039 Gateway Blvd, Grovetown, GA 30813-3389Phone(706) 498-9570
Source: Dmand AI Affiliation Data
Glenn Anthony Niles Jr. is affiliated with 1 site of care and 1 medical group
Glenn Niles' primary practice is Lifestance Health in Grovetown, Georgia. The medical group on file is LifeStance Health.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Glenn Anthony Niles Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Glenn Niles practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lifestance Health | Available with a free account |
Source: Dmand AI Technology Install Data
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Glenn Anthony Niles Jr. is one of 1,842 professional counselors in Georgia
Professional is Glenn Niles' primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Glenn Niles is licensed in Georgia.
Specialties and state licenses
- Professional counselor, GeorgiaPrimary
Professional counselors near Glenn Niles
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Glenn Anthony Niles Jr.'s patients have a median age of 33
Across all payers, Dmand AI patient panel data puts Glenn Niles' median patient age at 33, with 37% women.
Glenn Niles' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 33
Patient panel by sex, all payers
- Women37%
- Men62%
Source: Dmand AI Patient Panel Data
How Glenn Anthony Niles Jr. takes part in Medicare
Glenn Niles accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Glenn Anthony Niles Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Glenn Anthony Niles Jr.
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What is Glenn Anthony Niles Jr.'s NPI number?
Glenn Anthony Niles Jr.'s NPI number is 1477065720. It was assigned on October 26, 2017, and it is active in the NPI Registry.
What does Glenn Anthony Niles Jr. specialize in?
Glenn Anthony Niles Jr. is a professional counselor in Grovetown, Georgia. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Glenn Anthony Niles Jr. practice?
Glenn Niles practices at 4039 Gateway Blvd, Grovetown, GA 30813-3389. Glenn Niles' primary practice is Lifestance Health in Grovetown, Georgia.
What is Glenn Anthony Niles Jr.'s office phone number?
The practice phone on file for Glenn Niles is (706) 498-9570.
What is Glenn Anthony Niles Jr.'s medical license number?
Glenn Niles holds Georgia license LPC009918.
What medical group is Glenn Anthony Niles Jr. part of?
Glenn Niles is linked to LifeStance Health.
Does Glenn Anthony Niles Jr. accept Medicare?
Yes. CMS lists Glenn Niles as accepting Medicare assignment.
How long has Glenn Anthony Niles Jr. been practicing?
Glenn Niles graduated from medical school in 1999, 27 years ago.
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