1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Counselor
  6. NPI Profile

GLORY A WANLESS
NPI 1750990644
Counselor - Professional in Boise, ID

Active since July 27, 2020Opted out of Medicare · through Apr 2, 2028
10787 W USTICK RD, BOISE, ID 83713(208) 672-1801(855) 212-5682 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glory A Wanless NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORY A WANLESS (NPI 1750990644) is an individual professional provider in Boise, Idaho and active in the NPI registry since July 2020. She has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1750990644
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGLORY A WANLESS
Location Address10787 W USTICK RDBoise, ID 83713-5104
Mailing Address1650 S Topaz WayMeridian, ID 83642-4474
Phone(208) 672-1801
Fax(855) 212-5682
Sole ProprietorNo
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1750990644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10787 W USTICK RD, Boise, ID 83713
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Glory A Wanless has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERY'S HOUSE LLC
Psychiatric Residential Treatment Facility
10787 W USTICK RD
BOISE, ID 83713
Ada County (203) 200-8556
ILLYA MERARI ENGLE LMSW
Social Worker
10787 W USTICK RD
BOISE, ID 83713
Ada County (208) 672-1801
SHAELYN GRIFFIN
Social Worker
10787 W USTICK RD
BOISE, ID 83713
Ada County (208) 672-1801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glory Wanless's NPI number?

The NPI number for Glory Wanless is 1750990644. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Glory Wanless located?

Glory Wanless practices at 10787 W Ustick Rd, Boise, ID 83713. The listed phone number is (208) 672-1801.

What is Glory Wanless's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Glory Wanless enrolled in Medicare?

No. Glory Wanless has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Glory Wanless was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.