1. Home
  2. Directory
  3. Idaho
  4. Sandpoint
  5. Counselor
  6. NPI Profile

BROM GLIDDEN M.A.
NPI 1154694792
Counselor - Mental Health in Sandpoint, ID

Active since February 13, 2012PECOS Enrolled
534 N CENTER VALLEY RD, SANDPOINT, ID 83864(208) 597-0994 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1154694792
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBROM GLIDDENCredential: M.A.
Location Address534 N CENTER VALLEY RDSandpoint, ID 83864-7148
Mailing Address534 N Center Valley RdSandpoint, ID 83864-7148 · (208) 597-0994
Phone(208) 597-0994
Sole ProprietorYes
Enumeration DateFebruary 13, 2012
✔ NPI 1154694792 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 ID · LCP-4881
534 N CENTER VALLEY RD, Sandpoint, ID 83864
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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)

Brom Glidden M.a. 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.

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.

What insurance does Brom Glidden accept?

Health plans from PacificSource Health Plans and 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.