Individual provider Active NPI

Kenneth Beckett Wells, L.P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Fountain Hills, AZ
National Provider Identifier
1023161080
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-10875 Issued in AZ
Practice address
15627 E Centipede Dr
Fountain Hills, AZ 85268-1530
Phone
(480) 205-1806
Fax
(480) 816-5521
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-10875 AZ Primary
Professional Counselor 101YP2500X LPC-10174 AZ

Addresses

Primary practice location

15627 E Centipede Dr
Fountain Hills, AZ 85268-1530

Mailing address

15627 E Centipede Dr
Fountain Hills, AZ 85268-1530
Phone (480) 205-1806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-10875AZMDAddiction (Substance Use Disorder) Counselor
LPC-10174AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023161080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15627 E CENTIPEDE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681530",
            "telephone_number": "480-205-1806",
            "fax_number": "480-816-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15627 E CENTIPEDE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852681530",
            "telephone_number": "480-205-1806",
            "fax_number": "480-816-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KENNETH",
        "middle_name": "BECKETT",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10875",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.