Brom Glidden, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCP-4881 Issued in ID

Practice address

534 N Center Valley Rd
Sandpoint, ID 83864-7148

Phone

(208) 597-0994

NPI assigned

Feb 13, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glidden Counseling, LLC

  • Counselor
  • Sandpoint, ID
  • NPI 1467002923

  ID

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1154694792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N CENTER VALLEY RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647148",
            "telephone_number": "208-597-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N CENTER VALLEY RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647148",
            "telephone_number": "208-597-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "BROM",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCP-4881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Gerth, CCC-SP
• Philip William Gervais, DDS
• Jasper Gibson
• Karen Maurine Glaeser, LPC
• Glidden Counseling, LLC
• Phillip Arnold Glidden, DDS
• Emerson G Godbolt, D.M.D.
• Arthur S Goldblum, LAC DIPLAC
• Stacey A Good, D.O.
• Mari Goodpaster, LMT

• All providers in Sandpoint, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.