Kimberly R Wells, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2206000 Issued in AR

Practice address

109 S Laredo Ave
Suite 2
Russellville, AR 72801-4853

Phone

(479) 280-8113

Fax

(479) 431-5014

NPI assigned

Jul 6, 2021

Last updated

Feb 13, 2025By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Kimberly Wells Counseling LLC

  • Professional Counselor
  • Russellville, AR
  • NPI 1598560666
  NPD Authorized official
• Willow Springs Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Dardanelle, AR
  • NPI 1275175275
  NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1053982512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S LAREDO AVE",
            "address_2": "SUITE 2",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014853",
            "telephone_number": "479-280-8113",
            "fax_number": "479-431-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S LAREDO AVE",
            "address_2": "SUITE 2",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014853",
            "telephone_number": "479-280-8113",
            "fax_number": "479-431-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2206000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "P2206000",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly@willowsprings.hush.com",
            "affiliation": "N",
            "address_1": "105 N Front St",
            "city": "Dardanelle",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728343821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dillon Webster, LAC
• Candace Darlene Welcher, APN
• Kaylee Michelle Welcher
• Wellness Centers of Midamerica PLLC (Arkansas Pain, Wound and Wellness Clinic)
• Wellness Consulting Services Inc
• Megan Wells
• Phyllis Wells, CASE MANAGER CASE CO
• Steven A. Wells, DNP
• Thomas Gerard Werner, D.P.M.
• Cheyanna Wester

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.