GLEN HOWARD STARK
NPI 1083486211
Counselor - Professional in Bozeman, MT
About Glen Howard Stark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN HOWARD STARK (NPI 1083486211) is an individual professional provider in Bozeman, Montana, licensed in Montana (BBH-LCPC-LIC-79275) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bozeman, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Glen Howard Stark 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.
Medicare Billing Reassignment
Medicare enrollment records show Glen Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bozeman, MT 59715
- Reassigned Medicare billing, Montana enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stark's NPI number?
The NPI number for Glen Stark is 1083486211. It was assigned to this individual provider in the NPPES registry on October 23, 2023.
Where is Glen Stark located?
Glen Stark practices at 20 Cornerstone Way, Bozeman, MT 59718. The listed phone number is (406) 209-8763.
What is Glen Stark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Glen Stark enrolled in Medicare?
Yes. Glen Stark 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.
Which organization bills Medicare for Glen Stark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Stark reassigns Medicare benefits to Manmade Group LLC (Bozeman, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glen Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glen Stark accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Glen Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glen Stark was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Glen Howard Stark · NPI 1083486211
Professional provider in Bozeman, Montana. Individual provider, active in the CMS NPPES registry since October 23, 2023.
## Identity
- **NPI:** 1083486211 (Entity type: Individual)
- **Enumerated:** October 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** BBH-LCPC-LIC-79275 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 CORNERSTONE WAY, Bozeman, MT 59718-6004
- **Phone:** (406) 209-8763
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Manmade Group LLC (NPI 1619613270, Bozeman, MT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083486211) · Data from the CMS NPPES public registry.