Active NPI
Sara Irene Smith Wells, M.A.
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1134442676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1529 Laurel Oak Dr
Https://Doxy.Me/Disciple4Life
Fayetteville, NC 28314-6221 - Phone
- (910) 433-9007
- Fax
- (910) 433-2004
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8035 | NC | |
| Mental Health Counselor | 101YM0800X | NC | Primary |
Addresses
Primary practice location
1529 Laurel Oak Dr
Https://Doxy.Me/Disciple4Life
Fayetteville, NC 28314-6221
Mailing address
1529 Laurel Oak Dr
Fayetteville, NC 28314-6221
Phone (910) 868-1528
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169G3 | Other | NC | BCBSNC |
| 499148 | Other | NC | TRICARE |
| S1796 | Other | NC | SANDHILLS CENTER |
| 499148 | Other | NC | MHN |
| NC12297155 4940449 | Other | NC | CIGNA |
| 1134442676 | Other | NC | ALLIANCE BEHAVIORAL HEALTH CARE |
| 2289730 | Other | NC | COMPSYCH |
| 6104986 | Medicaid | NC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8035 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1134442676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 LAUREL OAK DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283146221",
"telephone_number": "910-868-1528",
"fax_number": "910-433-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 LAUREL OAK DR",
"address_2": "HTTPS://DOXY.ME/DISCIPLE4LIFE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283146221",
"telephone_number": "910-433-9007",
"fax_number": "910-433-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH WELLS",
"first_name": "SARA",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8035",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "169G3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "499148",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDHILLS CENTER",
"identifier": "S1796",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "499148",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "NC12297155 4940449",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE BEHAVIORAL HEALTH CARE",
"identifier": "1134442676",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "2289730",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104986",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.