Individual provider Active NPI

Glen Porter, CMHC

  • Mental Health Counselor
  • Washington, UT
National Provider Identifier
1669919593
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9823173-6009 Issued in UT
Practice address
85 N 300 W Ste C
Washington, UT 84780-3563
Phone
(435) 227-5052
Fax
(435) 215-4514
NPI assigned
Jan 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9823173-6009 UT Primary

Addresses

Primary practice location

85 N 300 W Ste C
Washington, UT 84780-3563

Mailing address

558 S Aeries Dr
Washington, UT 84780-3568
Phone (801) 499-9435

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
9823173-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Therapy Associates Mental Health CurrentSince Apr 20, 2025 Accepting new patients

Locations

85 N 300 W
Ste C
Washington, UT 84780
Phone (435) 227-5052

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669919593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 S AERIES DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803568",
            "telephone_number": "801-499-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N 300 W STE C",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803563",
            "telephone_number": "435-227-5052",
            "fax_number": "435-215-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GLEN",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9823173-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.