Glenn Taylor Brasington, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

856 Issued in OR

Practice address

429 N Water St
Silverton, OR 97381-1645

Phone

(503) 310-9157

Fax

(503) 873-6340

NPI assigned

Aug 15, 2006

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• An Inner Guide LLC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1043939887
  NPD (past)
• Branches of Change Counseling LLC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1770202517
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1780697144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810962",
            "telephone_number": "503-310-9157",
            "fax_number": "503-873-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N WATER ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811645",
            "telephone_number": "503-310-9157",
            "fax_number": "503-873-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASINGTON",
        "first_name": "GLENN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "856",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Bochsler, DPT
• Rayanna R Boltman, PT
• Alfred M Borromeo, D.D.S.
• Martin Robert Box, MD
• Lewis S Bradshaw
• Nathan C Braxmeyer, DMD
• Jody Brehm, LPC
• Paul Andrew Brewer, MD
• Breiana Brooks, PA-C
• Brooks' Wellness Massage LLC

• Counseling Psychologist in Silverton, OR
• Providers in Silverton, OR by specialty
• Counseling Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.