Individual provider Active NPI

David R Wells, MA, LPC

  • Professional Counselor
  • College Station, TX
National Provider Identifier
1083914196
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15643 Issued in TX
Practice address
543 William D Fitch Pkwy Ste 111
C/O CS Christian Counseling
College Station, TX 77845-6142
Phone
(979) 216-3020
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15643 TX Primary

Addresses

Primary practice location

543 William D Fitch Pkwy Ste 111
C/O CS Christian Counseling
College Station, TX 77845-6142

Mailing address

543 William D Fitch Pkwy Ste 111
C/O CS Christian Counseling
College Station, TX 77845-6142
Phone (979) 216-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Counseling Services, PLLC Professional CurrentSince Jun 1, 2020 Accepting new patients

Locations

543 William D Fitch Pkwy
Ste 111
College Station, TX 77845
Phone (832) 381-8532

547 William D Fitch Pkwy
Ste 103
College Station, TX 77845
Phone (936) 228-9442

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1083914196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 WILLIAM D FITCH PKWY STE 111",
            "address_2": "C/O CS CHRISTIAN COUNSELING",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456142",
            "telephone_number": "979-216-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 WILLIAM D FITCH PKWY STE 111",
            "address_2": "C/O CS CHRISTIAN COUNSELING",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456142",
            "telephone_number": "979-216-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.