Active NPI
Aysha Wells
- Professional Counselor
- Hanover, MD
National Provider Identifier
1215709449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP14075
- Practice address
- 7611 Elmcrest Rd
Hanover, MD 21076-1954 - Phone
- (443) 885-0176
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP14075 | MD | Primary |
Addresses
Primary practice location
7611 Elmcrest Rd
Hanover, MD 21076-1954
Mailing address
7611 Elmcrest Rd
Hanover, MD 21076-1954
Phone (240) 893-6863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14075 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1215709449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 ELMCREST RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761954",
"telephone_number": "240-893-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 ELMCREST RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761954",
"telephone_number": "443-885-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "AYSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP14075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.