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TIMOTHY GLADSON LPC
NPI 1093287526
Counselor - Professional in Honesdale, PA

Active since December 21, 2018PECOS Enrolled
600 MAPLE AVE STE 15, HONESDALE, PA 18431(570) 253-8219 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy Gladson Lpc NPPES

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

TIMOTHY GLADSON LPC (NPI 1093287526) is an individual professional provider in Honesdale, Pennsylvania, licensed in Pennsylvania (PC010976) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093287526
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY GLADSONCredential: LPC
Location Address600 MAPLE AVE STE 15Honesdale, PA 18431-1460
Mailing Address601 Park StHonesdale, PA 18431-1445
Phone(570) 253-8219
Sole ProprietorNo
Enumeration DateDecember 21, 2018
✔ NPI 1093287526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC010976
600 MAPLE AVE STE 15, Honesdale, PA 18431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Gladson 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Gladson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wayne Memorial Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
600 MAPLE AVE STE 2
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 73 clinicians in this Medicare group
NPI 1952395121 (570) 251-6672

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 6

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

MR. JOSEPH UNGVARSKY JR. PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219
MRS. DANNIELLE S WILMOT LSW
Social Worker (Clinical)
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219
JAMIE SULLIVAN CRNP
Nurse Practitioner (Psychiatric/Mental Health)
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219
EILEEN JAYNE ARENSON NP
Nurse Practitioner
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219
FERNEY PAEZ OLMOS M.D.
Psychiatry & Neurology (Psychiatry)
600 MAPLE AVE STE 15
HONESDALE, PA 18431
Wayne County (570) 253-8219

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 Timothy Gladson's NPI number?

The NPI number for Timothy Gladson is 1093287526. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Timothy Gladson located?

Timothy Gladson practices at 600 Maple Ave Ste 15, Honesdale, PA 18431. The listed phone number is (570) 253-8219.

What is Timothy Gladson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Timothy Gladson enrolled in Medicare?

Yes. Timothy Gladson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Gladson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Gladson reassigns Medicare benefits to Wayne Memorial Community Health Centers (Honesdale, PA). 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 Timothy Gladson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Gladson was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.