BROM GLIDDEN M.A.
NPI 1154694792
Counselor - Mental Health in Sandpoint, ID
About Brom Glidden M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROM GLIDDEN M.A. (NPI 1154694792) is an individual mental health provider in Sandpoint, Idaho, licensed in Idaho (LCP-4881) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brom Glidden M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brom Glidden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandpoint, ID 83864
- Reassigned Medicare billing, Idaho enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brom Glidden's NPI number?
The NPI number for Brom Glidden is 1154694792. It was assigned to this individual provider in the NPPES registry on February 13, 2012.
Where is Brom Glidden located?
Brom Glidden practices at 534 N Center Valley Rd, Sandpoint, ID 83864. The listed phone number is (208) 597-0994.
What is Brom Glidden's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Brom Glidden enrolled in Medicare?
Yes. Brom Glidden is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brom Glidden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brom Glidden reassigns Medicare benefits to Glidden Counseling, LLC (Sandpoint, ID). 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 Brom Glidden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brom Glidden accept?
Health plans from Providence Health Plan list Brom Glidden 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 Brom Glidden was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Brom Glidden, M.A. · NPI 1154694792
Mental Health provider in Sandpoint, Idaho. Individual provider, active in the CMS NPPES registry since February 13, 2012.
## Identity
- **NPI:** 1154694792 (Entity type: Individual)
- **Enumerated:** February 13, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCP-4881 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 534 N CENTER VALLEY RD, Sandpoint, ID 83864-7148
- **Phone:** (208) 597-0994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Glidden Counseling, LLC (NPI 1467002923, Sandpoint, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1154694792) · Data from the CMS NPPES public registry.