Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glenn Douglas Smith, MS, LPCC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447564869

Mr. Glenn Douglas Smith, MS, LPCC, LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone: (612) 543-3742
Fax: (612) 302-4872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 41-1303326 (MN)

Record details

NPI number1447564869
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPCC , LADC
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

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