GLYN T. DEPUTY (LPC) – Professional Counselor, NPI 1164541991

GLYN T. DEPUTY (LPC) is a healthcare provider. based in Grants pass, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC-3109 (ID). The NPI Number for GLYN T. DEPUTY (LPC) is 1164541991

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
GLYN T. DEPUTY (LPC)
NPI
1164541991
Phone
(541) 476-2373
Address
1215 SW G. STREET
Enumeration Date
29 March 2007
Last Update Date
17 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9078352838
Graduation Year
2003 (23 years ago)
PAC ID
5799212403
Group Practice PAC ID
9931261005
Professional Enrollment ID
I20241219001058
Address ID
AK996860046VA911XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for GLYN T. DEPUTY (LPC)

  • 1215 SW G. STREET

    GRANTS PASS, OR 975262544

    Phone: (541) 476-2373

    Fax: (541) 476-1526

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241219001058IMental Health CounselorAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931261005View full group profile
NameSpecialtyState
Mental Health CounselorAK

Reviews

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Frequently asked questions

What number should I use to identify GLYN T. DEPUTY (LPC) for billing?
Administrative and clinical systems typically use NPI 1164541991 for GLYN T. DEPUTY (LPC).
Should I treat GLYN T. DEPUTY (LPC) as an active provider?
Patients and plans typically see GLYN T. DEPUTY (LPC) as active in the national extract.
Which specialty label fits GLYN T. DEPUTY (LPC)?
NPPES ties GLYN T. DEPUTY (LPC) to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GLYN T. DEPUTY (LPC) tied to Grants Pass, Oregon?
If you are local to Grants Pass, Oregon, GLYN T. DEPUTY (LPC) may be relevant to your search.
Who maintains GLYN T. DEPUTY (LPC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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