Peggie Wells, LCSWA, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P015743 Issued in NC

Practice address

100 W Sprague St
Winston Salem, NC 27127-2946

Phone

(336) 261-6893

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Wells Center Inc for Women in Transition

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1417809013
  NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1053661124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11313",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161313",
            "telephone_number": "336-261-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPRAGUE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271272946",
            "telephone_number": "336-261-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "PEGGIE",
        "credential": "LCSWA, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P015743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellpath Community Care Centers of North Carolina, PC
• Adam Haynsworth Wells, MD
• Avery Higgins Wells, RN
• Brian J Wells, MD
• Hollis Ella Wells
• Rebecca E Wells, MD
• Sarah Wells
• Laura Michelle Welsh, PA
• Paul Ferman Welty, CRNA
• Rheannah Wendel, LCMHCA

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.