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Active NPI 1750990644 Individual Practitioner Female Practitioner

Glory A Wanless

Counselor - Professional • Boise, ID

Professional Overview & Biography Verified Profile Summary

Glory Wanless is a registered healthcare professional specializing in Counselor - Professional in Boise, ID. Practice services are available at 10787 W USTICK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10787 W Ustick Rd

Boise, ID 837135104

Telephone 2086721801
Fax 8552125682
Associated Practice Facility / Clinic
🏢 Avery's House Llc Facility NPI 1083302822

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
383 Specialists

Practicing in Boise, ID (1223 Statewide)

Telehealth Adoption Rate
3.1% 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

CMS Verified: 2020-07-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Secondary Practice Locations

7941 W Rifleman St

Boise, ID 837049001

Phone: 2088957950

847 Parkcentre Way Ste 7

Nampa, ID 836511794

Phone: 2082296050

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Brian Smart , MD

Psychiatry & Neurology - Psychiatry

NPI 1013961960

Doctor of Medicine (M.D.)

Dawn Williams , LPC

Counselor - Professional

NPI 1023693488

Licensed Professional Counselor

Katelyn Vanderpool

Social Worker

NPI 1114544541
Patricia De La Rivaherrera

Counselor - Addiction (Substance Use Disorder)

NPI 1386281558
NPI 1578269866

Licensed Master Social Worker

NPI 1598351553

Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2020

Registered at 10787 W USTICK RD, BOISE, ID 837135104 (Tel: 2086721801)

📍
Updated Business Mailing Address July 27, 2020

Registered at 1650 S TOPAZ WAY, MERIDIAN, ID 836424474

👤
Provider Name / Credentials Updated July 27, 2020

Recorded as GLORY WANLESS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Counselor

🟢
Initial NPI Registration & Enumeration July 27, 2020

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: 1750990644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2020
Last Update: July 27, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1650 S Topaz Way

Meridian, ID 836424474

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.