LAURA GLEN LAC
NPI 1881458123
Counselor - Professional in Eugene, OR

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment
1720 MINDA DR, EUGENE, OR 97401(520) 818-8838 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Feb 7, 2024 (2 updates tracked since 2024).

About Laura Glen Lac NPPES

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

LAURA GLEN LAC (NPI 1881458123) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C8120) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881458123
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA GLENCredential: LAC
Location Address1720 MINDA DREugene, OR 97401-1933
Mailing Address1720 Minda DrEugene, OR 97401-1933 · (541) 267-2113
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 7, 2024
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1881458123 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 OR · C8120
1720 MINDA DR, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Glen Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092232488
PECOS Enrollment IDI20250508002898
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 Laura Glen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
101 E BROADWAY STE 400
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • 44 clinicians in this Medicare group

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 Laura Glen's NPI number?

The NPI number for Laura Glen is 1881458123. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Laura Glen located?

Laura Glen practices at 1720 Minda Dr, Eugene, OR 97401. The listed phone number is (520) 818-8838.

What is Laura Glen's specialty?

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

Is Laura Glen enrolled in Medicare?

Yes. Laura Glen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laura Glen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Glen reassigns Medicare benefits to Optum Behavioral Care Of Colorado, P.C. (Eugene, OR). 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 Laura Glen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Glen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Laura Glen 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 Laura Glen was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.