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Deactivated NPI 1508192105 Deactivated / Inactive NPI Female Practitioner

Glenna Jill Eblen , MS, LPC, CDC I

Counselor - Professional • Wasilla, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glenna Eblen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2009
NPI Deactivation Date April 05, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Glenna Eblen, MS, LPC, CDC I was a registered Counselor - Professional practicing in Wasilla, AK. Throughout an active medical career spanning 13 years, Glenna Eblen provided care at the practice location at 1363 W SPRUCE AVE until profile deactivation on 2022-04-05.

Practice Location & Contact Primary Location

Practice Address

1363 W Spruce Ave

Wasilla, AK 996545327

Telephone 9073762411
Fax 9073523373
Associated Practice Facility / Clinic
🏢 Mat - Su Health Services Inc. Facility NPI 1184725210

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Wasilla, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Wasilla, AK (594 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AK 191

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Paris Taylor , LCSW-C

Counselor - Mental Health

NPI 1003301755

Licensed Clinical Social Worker - Certified

Lisa Bouyea-Francies , APRN-FNP

Nurse Practitioner - Family

NPI 1013308543

APRNFNP

Linda Shepard

Case Manager/Care Coordinator

NPI 1023631728
Lori Petal

Peer Specialist

NPI 1023696069
Dr. Heidi Koslo , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1033461942

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Robin Hughes , LMSW

Social Worker - Clinical

NPI 1043482052

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 05, 2022

Record deactivated on April 05, 2022

NPI Profile Active November 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2009

Registered at 1363 W SPRUCE AVE, WASILLA, AK 996545327 (Tel: 9073762411)

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Updated Business Mailing Address November 02, 2009

Registered at 1363 WEST SPRUCE AVENUE, WASILLA, AK 996545327 (Tel: 9073762411)

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Provider Name / Credentials Updated November 02, 2009

Recorded as GLENNA EBLEN, M.S., LPC, CDC I

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2009

Counselor (License #191 in AK)

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Initial NPI Registration & Enumeration November 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508192105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2009
Last Update: November 02, 2009
Deactivation Date: April 05, 2022

Mailing Address

1363 West Spruce Avenue

Wasilla, AK 996545327

Phone: 9073762411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.