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KRISTEN NICOLE GLAESER LCMHC-A. LCAS-A, NCC
NPI 1922882638
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since August 23, 2023PECOS Enrolled
5755 SHATTALON DR, WINSTON SALEM, NC 27105(336) 448-2628 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kristen Nicole Glaeser Lcmhc-a. Lcas-a, Ncc NPPES

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

KRISTEN NICOLE GLAESER LCMHC-A. LCAS-A, NCC (NPI 1922882638) is an individual addiction (substance use disorder) provider in Winston Salem, North Carolina, licensed in North Carolina (28881) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922882638
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRISTEN NICOLE GLAESERCredential: LCMHC-A. LCAS-A, NCC
Location Address5755 SHATTALON DRWinston Salem, NC 27105-1332
Mailing Address2563 Nc Highway 65Reidsville, NC 27320-9311 · (336) 552-5210
Phone(336) 448-2628
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1922882638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 28881
Also ListedCounselorTaxonomy 101Y00000X · License 1726249 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A18802 (NC)
5755 SHATTALON DR, Winston Salem, NC 27105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Nicole Glaeser Lcmhc-a. Lcas-a, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739645664
PECOS Enrollment IDI20260730002249
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 Kristen Glaeser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Perkins Counseling And Psychological Services, PLLC
99 mi
Mental Health
10580 LIGON MILL ROAD, SUITE 210
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1750641213 (919) 263-9592

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADDICTION RECOVERY CARE ASSOCIATION
Community/Behavioral Health
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 784-9470
MRS. KELLI B CROSS MOTRL
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779
ROBYNN JEAN CARECCIA OTRL
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779
MELISSA ELROD MOTRL
Occupational Therapist
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779
GENESIS
Skilled Nursing Facility
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779
DONNA LUCILLE ROBERSON MS, LCAS
Counselor (Addiction (Substance Use Disorder))
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 448-2626
MR. HOWARD SPENCER COLETRAIN LPTA
Physical Therapy Assistant
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779
MR. ALFRED DOCKERY PTA
Physical Therapy Assistant
5755 SHATTALON DR
WINSTON SALEM, NC 27105
Forsyth County (336) 744-2779

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 Kristen Glaeser's NPI number?

The NPI number for Kristen Glaeser is 1922882638. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Kristen Glaeser located?

Kristen Glaeser practices at 5755 Shattalon Dr, Winston Salem, NC 27105. The listed phone number is (336) 448-2628.

What is Kristen Glaeser's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kristen Glaeser enrolled in Medicare?

Yes. Kristen Glaeser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen Glaeser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Glaeser reassigns Medicare benefits to Perkins Counseling And Psychological Services, PLLC (Wake Forest, NC). 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 Kristen Glaeser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristen Glaeser was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.