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MR. GLENN D. GOLDMAN MA, LPC
NPI 1083953350
Counselor - Mental Health in Portland, OR

Active since February 06, 2013PECOS Enrolled
2045 SE HAWTHORNE BLVD, PORTLAND, OR 97214(503) 926-7034 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Glenn D. Goldman Ma, Lpc NPPES

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

MR. GLENN D. GOLDMAN MA, LPC (NPI 1083953350) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C3059) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083953350
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GLENN D. GOLDMANCredential: MA, LPC
Location Address2045 SE HAWTHORNE BLVDPortland, OR 97214-3819
Mailing Address2444 Ne 60th AvePortland, OR 97213-4018 · (503) 939-1775
Phone(503) 926-7034
Sole ProprietorYes
Enumeration DateFebruary 6, 2013
✔ NPI 1083953350 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 OR · C3059
2045 SE HAWTHORNE BLVD, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Glenn D. Goldman Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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

GRETA K REITINGER
Counselor (Mental Health)
2045 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (971) 331-1735
DOUGLAS VOGEL LPC, MS
Counselor (Mental Health)
2045 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (971) 266-4054
MEGAN MILLER M.ED, LMFT
Marriage & Family Therapist
2045 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 730-9282
JENNIFER L SHAY LCSW
Social Worker (Clinical)
2045 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 866-9025

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 Glenn Goldman's NPI number?

The NPI number for Glenn Goldman is 1083953350. It was assigned to this individual provider in the NPPES registry on February 6, 2013.

Where is Glenn Goldman located?

Glenn Goldman practices at 2045 SE Hawthorne Blvd, Portland, OR 97214. The listed phone number is (503) 926-7034.

What is Glenn Goldman's specialty?

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

Is Glenn Goldman enrolled in Medicare?

Yes. Glenn Goldman is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Goldman accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Glenn Goldman 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 Glenn Goldman was last updated on February 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.