GLEN STEWART LEONARD
NPI 1063239812
Counselor in Portland, OR

Active since September 23, 2024
4055 SW GARDEN HOME RD, PORTLAND, OR 97219(503) 766-4000 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Stewart Leonard NPPES

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

GLEN STEWART LEONARD (NPI 1063239812) is an individual counselor in Portland, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063239812
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameGLEN STEWART LEONARD
Location Address4055 SW GARDEN HOME RDPortland, OR 97219-3664
Mailing Address2420 Nw Quimby St Apt 12Portland, OR 97210-2662 · (503) 866-2822
Sole ProprietorYes
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
NPI 1063239812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4055 SW GARDEN HOME RD, Portland, OR 97219

Other Providers at the Same Location NPPES 17

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

Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Massage Therapist
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Student in an Organized Health Care Education/Training Program
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219
Counselor (Mental Health)
4055 SW GARDEN HOME RD
PORTLAND, OR 97219

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 Glen Leonard's NPI number?

The NPI number for Glen Leonard is 1063239812. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Glen Leonard located?

Glen Leonard practices at 4055 SW Garden Home Rd, Portland, OR 97219. The listed phone number is (503) 766-4000.

What is Glen Leonard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Glen Leonard was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.