MISS ANNANISSA JEAN GLIDDEN M.A.
NPI 1992007694
Counselor - Mental Health in Vancouver, WA
About Miss Annanissa Jean Glidden M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ANNANISSA JEAN GLIDDEN M.A. (NPI 1992007694) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH61513501) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Annanissa Jean Glidden M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annanissa Glidden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98683
- Reassigned Medicare billing, Washington enrollment
- 3 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.
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.
VANCOUVER, WA 98683
VANCOUVER, WA 98683
VANCOUVER, WA 98683
VANCOUVER, WA 98683
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 Annanissa Glidden's NPI number?
The NPI number for Annanissa Glidden is 1992007694. It was assigned to this individual provider in the NPPES registry on December 1, 2010. The provider is also known as Annanissa Patterson.
Where is Annanissa Glidden located?
Annanissa Glidden practices at 1498 SE Tech Center Pl, Vancouver, WA 98683. The listed phone number is (360) 209-3470.
What is Annanissa Glidden's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Annanissa Glidden enrolled in Medicare?
Yes. Annanissa Glidden is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annanissa Glidden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annanissa Glidden reassigns Medicare benefits to Real Life Community Behavioral Health PLLC (Vancouver, WA). 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 Annanissa Glidden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annanissa Glidden accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Annanissa 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 Annanissa Glidden was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Miss Annanissa Jean Glidden, M.A. · NPI 1992007694
Mental Health provider in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since December 1, 2010.
## Identity
- **NPI:** 1992007694 (Entity type: Individual)
- **Enumerated:** December 1, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH61513501 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1498 SE TECH CENTER PL, Vancouver, WA 98683-9591
- **Phone:** (360) 209-3470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Real Life Community Behavioral Health PLLC (NPI 1952063265, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992007694) · Data from the CMS NPPES public registry.