AVERIE GLASS R-DMT, LPC
NPI 1912595646
Counselor - Mental Health in Portland, OR
About Averie Glass R-dmt, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERIE GLASS R-DMT, LPC (NPI 1912595646) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C6917) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Averie Glass R-dmt, Lpc 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIGARD, OR 97223
TIGARD, OR 97223
PORTLAND, OR 97223
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 Averie Glass's NPI number?
The NPI number for Averie Glass is 1912595646. It was assigned to this individual provider in the NPPES registry on January 7, 2021.
Where is Averie Glass located?
Averie Glass practices at 11740 SW 68th Pkwy Ste 200, Portland, OR 97223. The listed phone number is (425) 640-7009.
What is Averie Glass's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Averie Glass enrolled in Medicare?
Yes. Averie Glass 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.
What insurance does Averie Glass accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Averie Glass 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 Averie Glass was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Averie Glass, R-DMT, LPC · NPI 1912595646
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 7, 2021.
## Identity
- **NPI:** 1912595646 (Entity type: Individual)
- **Enumerated:** January 7, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C6917 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11740 SW 68TH PKWY STE 200, Portland, OR 97223-9058
- **Phone:** (425) 640-7009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912595646) · Data from the CMS NPPES public registry.