Keisha Wells, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC007982 Issued in GA

Practice address

1501 13TH St
Suite N
Columbus, GA 31901-2383

Phone

(762) 822-7856

NPI assigned

Dec 20, 2014

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keisha Daniel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1205234499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 13TH ST",
            "address_2": "SUITE N",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012383",
            "telephone_number": "762-822-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 13TH ST",
            "address_2": "SUITE N",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012383",
            "telephone_number": "762-822-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KEISHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "DANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gustin Mackay Welch, D.O.
• Jacquelyn Nicole Wellmeier, LMSW
• Wellness & Beyond Medispa
• Joan Sherman Wells, RPH
• Katherine Hilton Wells, MD
• Susan Denise Wells, NP
• Wayne D Wells, MD
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC

• Mental Health Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.