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

Terry Glenn

Individual provider Counselor · NPI 1699316877

Terry Glenn is a Mental Health Counselor in Maryville, Illinois. Qualified in 2015, 11 years ago. Practices with Chestnut Health Systems Inc, a 30-clinician group. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2019
Specialties on file
3

Practice location Address checks out

2148 Vadalabene Dr
Maryville, IL 62062-5632
Phone: (618) 288-3100
Fax: (618) 288-3371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178.011987 (IL)
Counselor Taxonomy 101Y00000X · Licence 178.001987 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 178.011987 (IL)

Record details

NPI number1699316877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address448 Wylie Dr, Normal, IL 61761-5405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Chestnut Health Systems Inc — 30 clinicians
Accepts Medicare assignment Not indicated

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