Shirley Ann Wells, M.ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002013515 Issued in MO

Practice address

3309 S. Kingshighway Blvd
Family Resource Center
Saint Louis, MO 63139

Phone

(314) 534-1204

NPI assigned

Sep 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1003001504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 WARWICK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212436",
            "telephone_number": "314-382-7997",
            "fax_number": "314-382-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 S. KINGSHIGHWAY BLVD",
            "address_2": "FAMILY RESOURCE CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-534-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002013515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Wells, LPC
• Jordan Wells
• Kevin Wells, MSW, CRAADC
• Lawrence Wells, MD
• Rachel Denise Maxwell Wells, PHD
• Tilwuana Wells, PLBA
• Wellspring Christian Counseling
• Wellston Loop Community Development Corp.
• Annalyn Michele Welp, MD
• Kenneth Richard Welsch, ANP-BC

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.