Glenda Kaye Evans, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4753 Issued in OR

Practice address

4846 Chan St S
Salem, OR 97306-2410

Phone

(503) 383-9161

NPI assigned

Jul 11, 2013

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2025 through Mar 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Enlighten Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, OR
  • NPI 1700599230
  NPD (past)
• Polk Yamhill & Marion Child Treatment Services Inc

  dba Poyama Counseling Services

  • Counselor
  • Salem, OR
  • NPI 1760685176

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1447691092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 CHAN ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062410",
            "telephone_number": "503-383-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4846 CHAN ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062410",
            "telephone_number": "503-383-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Liberty St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024138",
            "country_code": "US",
            "telephone_number": "503-588-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Plaza St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044658",
            "country_code": "US",
            "telephone_number": "503-585-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2659 Commercial St SE Ste 216",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024496",
            "country_code": "US",
            "telephone_number": "503-383-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "GLENDA",
        "middle_name": "KAYE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Yoel Eudy
• Euhealth Psychiatry LLC (Euhealth Psychiatry and Mental Wellness)
• Eusebio Herrera-Perez
• Michelle Nicole Euzent, DDS
• Daniel Ray Evans, L.AC.
• Halley Evans
• Isabella Evans
• Jessica Evans
• Kristin M Everett, MD
• Evergreen Behavioral Health, LLC

• Professional Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.