GEORGIA GLAZEBROOK
NPI 1174094890
Counselor - Professional in Tualatin, OR

Active since December 06, 2018
19960 SW 112TH AVE, TUALATIN, OR 97062(866) 478-3978 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Sep 6, 2023, Aug 12, 2020 and 1 more (4 updates tracked since 2018).

About Georgia Glazebrook NPPES

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

GEORGIA GLAZEBROOK (NPI 1174094890) is an individual professional provider in Tualatin, Oregon, licensed in Kansas (LCPC04149) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1174094890
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGEORGIA GLAZEBROOK
Location Address19960 SW 112TH AVETualatin, OR 97062-7626
Mailing AddressPo Box 31Salina, KS 67402-0031 · (541) 248-7911
Sole ProprietorNo
Enumeration DateDecember 6, 2018
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1174094890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in KS · LCPC04149 Licensed in OR · C10211
19960 SW 112TH AVE, Tualatin, OR 97062

Accepted Insurance

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
19960 SW 112TH AVE
TUALATIN, OR 97062
Counselor (Mental Health)
19960 SW 112TH AVE
TUALATIN, OR 97062

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 Georgia Glazebrook's NPI number?

The NPI number for Georgia Glazebrook is 1174094890. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Georgia Glazebrook located?

Georgia Glazebrook practices at 19960 SW 112th Ave, Tualatin, OR 97062. The listed phone number is (866) 478-3978.

What is Georgia Glazebrook's specialty?

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

What insurance does Georgia Glazebrook accept?

Health plans from Moda Health Plan, Inc. list Georgia Glazebrook 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 Georgia Glazebrook was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.