Individual provider Active NPI

Brogan Gabriella Glover-Smith

  • Counselor
  • Bellingham, WA
National Provider Identifier
1215587480
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG61006597 Issued in WA
Practice address
1400 Broadway
Bellingham, WA 98225-3036
Phone
(360) 922-6977
Fax
(360) 922-3737
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG61006597 WA Primary

Addresses

Primary practice location

1400 Broadway
Bellingham, WA 98225-3036

Mailing address

4350 Cordata Pkwy Ste 102
Bellingham, WA 98226-8278
Phone (360) 922-6977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG61006597WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Counseling, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

1400 Broadway
Bellingham, WA 98225
Phone (360) 922-6977

4350 Cordata Pkwy
Ste 102
Bellingham, WA 98226
Phone (360) 922-6977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1215587480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 CORDATA PKWY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268278",
            "telephone_number": "360-922-6977",
            "fax_number": "360-922-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROADWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253036",
            "telephone_number": "360-922-6977",
            "fax_number": "360-922-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER-SMITH",
        "first_name": "BROGAN",
        "middle_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61006597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.