Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Averie Glass, R-DMT, LPC

Individual provider Mental Health Counselor · NPI 1912595646

Averie Glass, R-DMT, LPC is a Mental Health Counselor in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058
Phone: (425) 640-7009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Ne Irving St Ste 210, Portland, OR 97232-2243 — (425) 477-4215

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C6917 (OR)

Record details

NPI number1912595646
Entity typeIndividual (Type 1)
GenderFemale
Credentials R-DMT , LPC
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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