KATHLEEN GLESS MSW
NPI 1003604307
Counselor - Mental Health in Port Orange, FL

Active since April 28, 2025PECOS EnrolledAccepts Medicare Assignment
900 N SWALLOW TAIL DR, PORT ORANGE, FL 32129(386) 333-9717 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Gless Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN GLESS MSW (NPI 1003604307) is an individual mental health provider in Port Orange, Florida, licensed in Florida (ISW18950) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ormond Beach, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003604307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN GLESSCredential: MSW
Location Address900 N SWALLOW TAIL DRPort Orange, FL 32129-6102
Mailing Address93 Carriage Creek WayOrmond Beach, FL 32174-6784 · (202) 423-4505
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1003604307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · ISW18950
900 N SWALLOW TAIL DR, Port Orange, FL 32129

Secondary Practice Location 1

Location 11275 W Granada BlvdOrmond Beach, FL 32174-8259 · Phone (386) 449-8600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Gless Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335637008
PECOS Enrollment IDI20251023003659
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
900 N SWALLOW TAIL DR, SUITE 103
PORT ORANGE, FL 32129
Chiropractor
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Chiropractor
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Counselor (Mental Health)
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129
Speech-Language Pathologist
900 N SWALLOW TAIL DR, 107
PORT ORANGE, FL 32129
Speech-Language Pathologist
900 N SWALLOW TAIL DR
PORT ORANGE, FL 32129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Gless's NPI number?

The NPI number for Kathleen Gless is 1003604307. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Kathleen Gless located?

Kathleen Gless practices at 900 N Swallow Tail Dr, Port Orange, FL 32129. The listed phone number is (386) 333-9717.

What is Kathleen Gless's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathleen Gless enrolled in Medicare?

Yes. Kathleen Gless is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Gless was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.