Active NPI
Stephanie Ellen Wells, LCSW
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1184844904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 984C
- Practice address
- 225 S Pulaski St
Little Rock, AR 72201-1925 - Phone
- (501) 372-2970
- Fax
- (888) 468-9318
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 984C | AR | Primary |
Addresses
Primary practice location
225 S Pulaski St
Little Rock, AR 72201-1925
Mailing address
2000 Magnolia Ave Apt 343
Little Rock, AR 72202-1610
Phone (501) 372-2970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984C | Other | AR | LCSW |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 984C | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiration Day Treatment, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Little Rock, AR
- NPI 1811141807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184844904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MAGNOLIA AVE APT 343",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722021610",
"telephone_number": "501-372-2970",
"fax_number": "188-846-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S PULASKI ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722011925",
"telephone_number": "501-372-2970",
"fax_number": "888-468-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "STEPHANIE",
"middle_name": "ELLEN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "984C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "984C",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.