TINA MARIE GLOVER (NPI# 1023208410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023208410 |
| Entity Type | Individual |
| Full Name | TINA MARIE GLOVER |
| Credential | MS, CRC, QMHP, CADC |
| Practice Address |
423 Ne 60th Ave Portland OR 97051-6210 |
| Mailing Address |
Po Box 16055 Portland OR 97292 |
| Practice Telephone | 5039700299 |
| Mailing Telephone | 5039700299 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | OR | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02-11-101 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
R2140 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ACCBO, CADC II | 02-11-101 | 01 |
| VA | NAADAC, NCAC II | 013896 | 01 |
| Street Address |
423 NE 60TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97051-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508921941 | Erin M Berk | Art Therapist | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2006-12-26 |
| 1548618630 | Shannon Quinn | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2016-05-30 |
| 1861818346 | Courtney Woodward | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2014-03-08 |
| 1316389299 | Cathy E Walker | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2013-07-22 |
| 1104105840 | Joseph Parrish | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2011-08-12 |
| 1457586380 | Elizabeth J Stinson | Marriage & Family Therapist | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2009-05-21 |
| 1750522066 | Jeffrey Asprocolas | Social Worker | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2009-03-16 |
| 1972762490 | Mohammad A Bader | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2008-06-09 |
| 1639353691 | Julie Hassen Wiesner | Social Worker | 423 Ne 60th Ave, Portland, Portland, OR 97213-3725 | 2007-12-26 |
| 1902095185 | Brian Tucker | Psychologist | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.